Individual provider · Type 1 NPI

Kandi Marie Lake

Counselor · Clearfield, UT

NPI number 1972867067 Active

Practice location

370 S 500 E
Clearfield, UT 84015-4057

Fax (801) 225-7053

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1972867067

Kandi Marie Lake's National Provider Identifier is 1972867067, issued on Jul 3, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Clearfield, UT. The record was last updated on Jul 3, 2012.