Individual provider · Type 1 NPI

Patricia Mary Lake, LPCC

Mental Health Counselor · Albuquerque, NM

NPI number 1457332835 Active

Practice location

2450 Alamo Ave SE, Milagro Program
Albuquerque, NM 87106-3204

Fax (505) 925-2491

Mailing address

2800 Candelaria Rd NW
Albuquerque, NM 87107-2915

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3297 (NM)

Mental Health Counselor: Definition to come...

25 other providers at this address

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About NPI 1457332835

Patricia Mary Lake, LPCC's National Provider Identifier is 1457332835, issued on Nov 11, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 13, 2026.