Debra Lake, MS

NPI #1437756368 in Newtown, Pennsylvania

Provider Information

NPI Number: 1437756368
Entity Type: Individual
Name: Debra Lake, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MS
Enumeration Date: Oct 5, 2020
Last Updated: Oct 5, 2020

Practice Location

Address: 17 BARCLAY STREET
Address 2: BUILDING B3
City: Newtown
State: Pennsylvania
ZIP Code: 18940
Phone: (267) 566-8770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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