MR. James P Lake, MS, LCPC

NPI #1518241330 in Wauconda, Illinois

Provider Information

NPI Number
1518241330
Entity Type
Individual
Name
MR. James P Lake, MS, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MS, LCPC
Enumeration Date
Sep 29, 2011
Last Updated
Sep 29, 2011

Practice Location

Address
440 N MAIN ST APT E304
ZIP Code
60084-1759
Phone
(847) 526-6425

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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