Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric S Lake, MA, LLP, CADC

Individual provider Mental Health Counselor · NPI 1053644377

Eric S Lake, MA, LLP, CADC is a Mental Health Counselor in Grand Rapids, Michigan. Licensed in Michigan and Nebraska. Registered with an NPI since 2009.

Licensed in
MI, NE
In the registry since
2009
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone: (616) 840-8000
Fax: (616) 840-9771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 6361002966 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8952 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 121 (NE)

Record details

NPI number1053644377
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LLP , CADC
Sole proprietorNo
NPI enumeratedSeptember 18, 2009
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

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