Individual provider · Type 1 NPI

Stephanie J. Lake, CATC

Specialist · Davis, CA

NPI number 1891058947 Active

Practice location

One Shields Ave, Uc Davis Student Health And Couseling Services
Davis, CA 95616

Fax (530) 752-4252

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XCATC #091698 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891058947

Stephanie J. Lake, CATC's National Provider Identifier is 1891058947, issued on Jun 22, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Davis, CA. The record was last updated on Jun 22, 2012.