Individual provider · Type 1 NPI

Kimberly Lake, BA, CAAR

Counselor · Longview, WA

NPI number 1811472277 Active

Practice location

720 14th Avenue
Longview, WA 98632

Fax (360) 423-2311

Mailing address

PO Box 1847
Longview, WA 98632

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X608708781 (WA)

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 1811472277

Kimberly Lake, BA, CAAR's National Provider Identifier is 1811472277, issued on Oct 1, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Aug 14, 2019.