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Individual
MR. MICHAEL H LAKE JR.
Active
Individual
MR. MICHAEL H LAKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8204
FL
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
MH8204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000761700
—
FL
05
—
016517700
—
FL
Enumeration date
12/19/2006
Last updated
09/25/2018
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