Amanda Lake
Amanda Lake is a Counselor in Eureka, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1100 California StEureka, CA 95501-1621
Phone: (707) 443-8322
Fax: (707) 445-1445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1457487779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 23, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 4906 Valley East Blvd, Apt. H, Arcata, CA 95521-4680 |
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