Individual provider · Type 1 NPI

Melissa Lake, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1659182764 Active

Practice location

7325 N 16th St Ste 110
Phoenix, AZ 85020-5202

Call (602) 345-0276 Map

Mailing address

1517 W Loma Ln
Phoenix, AZ 85021-5443

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1659182764

Melissa Lake, LAC's National Provider Identifier is 1659182764, issued on Jan 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 17, 2025.