Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ricky B Lake Jr., LPC

Individual provider Professional Counselor · NPI 1891893699

Ricky B Lake Jr., LPC is a Professional Counselor in Indiana, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone: (724) 465-5576
Fax: (724) 465-5532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC004272 (PA)

Record details

NPI number1891893699
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 30, 2010

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