MR. Richard Wayne Lake, LMFT

NPI #1881777001 in Hanson, Kentucky

Provider Information

NPI Number: 1881777001
Entity Type: Individual
Name: MR. Richard Wayne Lake, LMFT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Credential: LMFT
Enumeration Date: Oct 23, 2006
Last Updated: Sep 18, 2014

Practice Location

Address: 345 LEROY RD
City: Hanson
State: Kentucky
ZIP Code: 42413-9657
Phone: (270) 875-2544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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