Individual provider · Type 1 NPI

Laverne Lake

Mental Health Counselor · West Palm Beach, FL

NPI number 1477790772 Active

Practice location

1639 Forum Pl, Suite 7
West Palm Beach, FL 33401-2330

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed

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About NPI 1477790772

Laverne Lake's National Provider Identifier is 1477790772, issued on Jan 8, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Palm Beach, FL. The record was last updated on Apr 30, 2014.