Individual
DR. JAMES ANDREW LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMFT, SCC-C, DMINN
Contact information
Practice address
4461 BUCKINGHAM RD, FORT MYERS, FL 33905-7221
(330) 333-1909
Mailing address
4461 BUCKINGHAM RD, FORT MYERS, FL 33905-7221
(330) 333-1909
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LCMFT0559020423
FL
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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