MR. Allen Lake II, LCSW

NPI #1972866721 in Benicia, California

Provider Information

NPI Number
1972866721
Entity Type
Individual
Name
MR. Allen Lake II, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 18, 2012
Last Updated
Mar 17, 2020

Practice Location

Address
110 E D ST STE J
ZIP Code
94510-3252
Phone
(707) 413-7680

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical

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