Individual
ALLISON LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4909 WATERS EDGE DR, RALEIGH, NC 27606-0039
(919) 589-2196
Mailing address
105 WALLINGTON CT, HOLLY SPRINGS, NC 27540-5477
(919) 539-1525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21607
NC
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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