MS. Kimmy Jo Lake, CDP
MS. Kimmy Jo Lake, CDP is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2013.
- Licensed in
- WA
- In the registry since
- 2013
Practice location Address checks out
758 St Helens AveTacoma, WA 98402-3706
Phone: (253) 274-0484
Fax: (253) 274-1457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CP60311481 (WA) |
|---|
Record details
| NPI number | 1629414917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CDP |
| Sole proprietor | No |
| NPI enumerated | May 14, 2013 |
| Last updated in NPPES | May 14, 2013 |
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