Lake Counseling Services, LLC

NPI #1861262651 in Fruitland, Idaho

Provider Information

NPI Number: 1861262651
Entity Type: Organization
Organization Name: Lake Counseling Services, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 3, 2024
Last Updated: Jan 3, 2024

Practice Location

Address: 620 S IDAHO AVE
City: Fruitland
State: Idaho
ZIP Code: 83619-2607
Phone: (208) 739-6121

Authorized Official

Name: CHRISTA LAKE, LPC
Title: OWNER
Phone: (208) 739-6121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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