Individual provider · Type 1 NPI

Leah Johnson Lake, MED

Marriage & Family Therapist · Columbia, SC

NPI number 1750397378 Active

Practice location

605 Capitol Place
Columbia, SC 29205

Fax (803) 799-7652

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	51 (SC)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1750397378

Leah Johnson Lake, MED's National Provider Identifier is 1750397378, issued on Aug 1, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Columbia, SC. The record was last updated on Jul 8, 2007.