Candace Lake Ms Lmhc PA
NPI #1669094967 in Wilton Manors, Florida
Provider Information
- NPI Number
- 1669094967
- Entity Type
- Organization
- Organization Name
- Candace Lake Ms Lmhc PA
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 11, 2020
- Last Updated
- May 11, 2020
Practice Location
- Address
- 1650 NE 26TH ST STE 201
- City
- Wilton Manors
- State
- Florida
- ZIP Code
- 33305-1431
- Phone
- (561) 271-0681
Authorized Official
- Name
- MS. CANDACE RENEE LAKE, MS
- Title
- OWNER
- Phone
- (561) 271-0681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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