Individual
EMILY ELIZABETH LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15291 NW 60TH AVE- COCONUT GROVE RECOVERY, STE 201, MIAMI LAKES, FL 33014-2460
(540) 323-3579
Mailing address
6700 NW 47TH PL, LAUDERHILL, FL 33319-3402
(540) 323-3579
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2904
FL
Other
Enumeration date
01/12/2016
Last updated
01/22/2016
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