# LAKE AVENUE COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750150678
- **Authorized official:** MR. TSEGAMLAK WORKU MFT (DIRECTOR OF COUNSELING)
- **Authorized official phone:** (626) 786-1019

## Contact information

- **Practice address:** 393 N LAKE AVE, PASADENA, CA 91101-1213
- **Practice address phone:** (626) 817-4888
- **Practice address fax:** (626) 817-4988
- **Mailing address:** 393 N LAKE AVE, PASADENA, CA 91101-1213
- **Mailing address phone:** (626) 817-4888
- **Mailing address fax:** (626) 786-4988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 12/20/2023