Individual
MRS. LESA M LAKE-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3392 W 3500 S, WEST VALLEY, UT 84119-2630
(801) 969-3307
(801) 964-8898
Mailing address
6311 TABLE ROCK CIR, WEST JORDAN, UT 84084-5334
(801) 966-3306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
367729-6004
UT
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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