Individual provider · Type 1 NPI

Elizabeth Lake, MED AND LSW

Mental Health Counselor · Wooster, OH

NPI number 1356588057 Active

Practice location

521 Beall Ave
Wooster, OH 44691-3589

Call (330) 262-7836 Map

Mailing address

2078 W Smithville Western Rd
Wooster, OH 44691-8500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XS0800835 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1356588057

Elizabeth Lake, MED AND LSW's National Provider Identifier is 1356588057, issued on Jan 16, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wooster, OH. The record was last updated on Jan 16, 2009.