Individual provider · Type 1 NPI

Kaitlyn Taylor Lake, MS

Mental Health Counselor · Minneapolis, MN

NPI number 1629941000 Active

Practice location

1200 Marquette Ave
Minneapolis, MN 55403-2419

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1629941000

Kaitlyn Taylor Lake, MS's National Provider Identifier is 1629941000, issued on Sep 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 24, 2025.