Terry Lake
Terry Lake is an Addiction (Substance Use Disorder) Counselor in Miami, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
130 W Steve Owens BlvdMiami, OK 74354-7629
Phone: (918) 542-2845
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1760809180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2014 |
| Last updated in NPPES | March 24, 2014 |
| Mailing address | Po Box 1271, Miami, OK 74355-1271 |
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