Individual
BETH ANN LAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4100 W KENNEDY BLVD STE 310, TAMPA, FL 33609-2290
(813) 358-6257
Mailing address
4018 25TH AVE N, SAINT PETERSBURG, FL 33713-3319
(727) 409-2091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22884
FL
Other
Enumeration date
12/21/2018
Last updated
10/16/2023
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