Individual provider · Type 1 NPI

John M. Lake, MSW, LISW

Mental Health Counselor · Colville, WA

NPI number 1861561367 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Call (509) 684-6172 Map

Mailing address

746 N Oak St
Colville, WA 99114-3148

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH0005634 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1861561367

John M. Lake, MSW, LISW's National Provider Identifier is 1861561367, issued on Nov 7, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colville, WA. The record was last updated on Jul 8, 2007.