Richard D Lake is a Mental Health in Puyallup, Washington. Richard D Lake practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Richard D Lake is 1699829168. The last update date is 2007-07-08.
Richard D Lake's current location address is 10115 63rd Avenue Ct E, Puyallup, Washington. You can contact this provider via phone number 2539048592 and fax number 2539048592. The mailing address for Richard D Lake is 10115 63rd Avenue Ct E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard D Lake |
|---|---|
| Address | 10115 63rd Avenue Ct E, Puyallup, Washington |
| Phone Number | 2539048592 |
| Fax Number | 2539048592 |
| Sole Proprietor | Y |
| Credentials | M.S., LMHC |
NPI Number Detail
| NPI Number | 1699829168 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10115 63rd Avenue Ct E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983731165 |
| Phone Number | 2539048592 |
| Fax Number | 2539048592 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LH00005258 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Richard D Lake's 1699829168?
The Richard D Lake's NPI (National Provider Identifier) Number is 1699829168. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Richard D Lake's facilities are geographically located?
The facilities of Richard D Lake are physically situated at the following location: 10115 63Rd Avenue Ct E, Puyallup, WA, 983731165.
What is the area of specialization for Richard D Lake, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard D Lake is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699829168 to Richard D Lake?
The Centers for Medicare & Medicaid Services originally issued the 1699829168 to Richard D Lake on 2007-01-22.
As of what date was the information pertaining to Richard D Lake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard D Lake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1902802911
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