Individual provider · Type 1 NPI

Donita Michelle Lake

Mental Health Counselor · Mokena, IL

NPI number 1710695531 Active

Practice location

11225 Front St
Mokena, IL 60448-1303

Call (708) 537-7332 Map

Mailing address

236 S Palmer Dr
Bolingbrook, IL 60490-6571

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1710695531

Donita Michelle Lake's National Provider Identifier is 1710695531, issued on Nov 10, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mokena, IL. The record was last updated on Nov 10, 2022.