Individual provider · Type 1 NPI

Jeremy William Lake

Counselor · Cedar City, UT

NPI number 1770802431 Active

Practice location

6484 N 2300 W
Cedar City, UT 84721-7102

Call (435) 867-4876 Map

Mailing address

6484 N. 2300 W.
Cedar City, UT 84721

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1770802431

Jeremy William Lake's National Provider Identifier is 1770802431, issued on May 20, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cedar City, UT. The record was last updated on May 20, 2010.