John M Lake, MSW, LISW
NPI #1861561367 in Colville, Washington
Provider Information
- NPI Number
- 1861561367
- Entity Type
- Individual
- Name
- John M Lake, MSW, LISW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MSW, LISW
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 165 E HAWTHORNE AVE
- City
- Colville
- State
- Washington
- ZIP Code
- 99114-2629
- Phone
- (509) 684-6172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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