Individual provider · Type 1 NPI

Corey Lake, CDCA, PRS-HS

Addiction (Substance Use Disorder) Counselor · Circleville, OH

NPI number 1467220392 Active

Practice location

2065 Stoneridge Dr
Circleville, OH 43113-8956

Call (740) 500-1391 Map

Other practice locations

  • 1875 Stoneridge Dr, Circleville, OH 43113-8956 · (740) 500-1391
  • 1235 S Court St, Circleville, OH 43113-2108 · (740) 500-1391

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XAPS.004709 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.192016 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1467220392

Corey Lake, CDCA, PRS-HS's National Provider Identifier is 1467220392, issued on Dec 20, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Circleville, OH. The record was last updated on Apr 23, 2025.