Individual provider · Type 1 NPI

Jennifer Belle Lake, RN, MA, LPC

Mental Health Counselor · Boulder, CO

NPI number 1740436617 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1740436617

Jennifer Belle Lake, RN, MA, LPC's National Provider Identifier is 1740436617, issued on Aug 12, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Aug 12, 2008.