Individual provider · Type 1 NPI

Emily Elizabeth Lake, MA

Mental Health Counselor · Portland, OR

NPI number 1912370032 Active

Practice location

5741 NE Glisan St Ste 2
Portland, OR 97213-3793

Call (360) 608-5360 Map

Other practice locations

  • 700 NE Multnomah St Ste 275, Portland, OR 97232-4103 · (503) 729-1380

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XCG60613583 (WA)
Mental Health Counselor Primary 101YM0800XC5190 (OR)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1912370032

Emily Elizabeth Lake, MA's National Provider Identifier is 1912370032, issued on Nov 11, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 10, 2022.