Individual provider · Type 1 NPI

Chanice Lake, M.ED, NCC

Mental Health Counselor · Palm City, FL

NPI number 1699245100 Active

Practice location

3577 SW Corporate Pkwy
Palm City, FL 34990-8153

Call (772) 220-3439 Map

Mailing address

261 Brazilian Cir
Port St. Lucie, FL 34952-1398

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH17666 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1699245100

Chanice Lake, M.ED, NCC's National Provider Identifier is 1699245100, issued on Nov 27, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palm City, FL. The record was last updated on Nov 27, 2018.