Individual provider · Type 1 NPI

Amanda Kay Lake

Marriage & Family Therapist · Janesville, WI

NPI number 1992998900 Active

Practice location

113 S Franklin St
Janesville, WI 53548-3812

Call (608) 743-2417 Map

Fax (608) 743-2406

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X10097 (IA)
Addiction (Substance Use Disorder) Counselor 101YA0400X15750 (WI)
Marriage & Family Therapist 106H00000X000347 (IA)
Marriage & Family Therapist Primary 106H00000X903 (WI)
Marriage & Family Therapist 106H00000X166000869 (IL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1992998900

Amanda Kay Lake's National Provider Identifier is 1992998900, issued on Aug 22, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Janesville, WI. The record was last updated on Dec 18, 2014.