Individual provider · Type 1 NPI

James Evan Lake, MA, PC, ATR

Mental Health Counselor · Fairlawn, OH

NPI number 1801556899 Active

Practice location

843 N Cleveland Massillon Rd
Fairlawn, OH 44333-2184

Call (330) 723-7977 Map

Fax (330) 239-8599

Mailing address

272 Somerset Rd
Akron, OH 44313-4533

Specialties and licenses

TaxonomyCodeLicense
Art Therapist 221700000X21-169 (OH)
Mental Health Counselor Primary 101YM0800XC.0008277 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1801556899

James Evan Lake, MA, PC, ATR's National Provider Identifier is 1801556899, issued on Dec 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairlawn, OH. The record was last updated on Dec 18, 2021.