Individual provider · Type 1 NPI

Christa Ray Lake

Mental Health Counselor · Ontario, OR

NPI number 1609568971 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Call (541) 889-9167 Map

Fax (541) 889-7873

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1609568971

Christa Ray Lake's National Provider Identifier is 1609568971, issued on May 24, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ontario, OR. The record was last updated on May 24, 2023.