Individual provider · Type 1 NPI

Jennifer Marie Lake, M.A., LMFT

Marriage & Family Therapist · Roseville, MN

NPI number 1801199302 Active

Practice location

2233 N. Hamline Ave., Suite 411
Roseville, MN 55113

Call (612) 799-8258 Map

Fax (651) 330-8718

Mailing address

8119 50th Ave. N.
New Hope, MN 55428

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Marriage & Family Therapist Primary 106H00000X2425 (MN)

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 1801199302

Jennifer Marie Lake, M.A., LMFT's National Provider Identifier is 1801199302, issued on Dec 6, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Roseville, MN. The record was last updated on Oct 22, 2015.