Individual provider · Type 1 NPI

Amanda Lake

Counselor · Eureka, CA

NPI number 1457487779 Active

Practice location

1100 California St
Eureka, CA 95501-1621

Call (707) 443-8322 Map

Fax (707) 445-1445

Mailing address

4906 Valley East Blvd, Apt. H
Arcata, CA 95521-4680

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1457487779

Amanda Lake's National Provider Identifier is 1457487779, issued on Feb 23, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Eureka, CA. The record was last updated on Jul 8, 2007.