Kimberly Lake, BA, CAAR
NPI #1811472277 in Longview, Washington
Provider Information
- NPI Number
- 1811472277
- Entity Type
- Individual
- Name
- Kimberly Lake, BA, CAAR
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- BA, CAAR
- Enumeration Date
- Oct 1, 2018
- Last Updated
- Aug 14, 2019
Practice Location
- Address
- 720 14TH AVENUE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632
- Phone
- (360) 423-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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