Individual provider · Type 1 NPI
Michelle Lake, LPC
Professional Counselor · Jackson, MI
NPI number
1720533581
Active
Practice location
205 N East Ave
Jackson, MI 49201-1753
Fax (517) 789-5918
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401017419 (MI) |
Professional Counselor: Definition to come...
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- Ramona Sue Wright, L.P.C.Professional Counselor Jackson, MI NPI 1063650414
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About NPI 1720533581
Michelle Lake, LPC's National Provider Identifier is 1720533581, issued on Aug 22, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MI. The record was last updated on Nov 6, 2025.