Individual
DEBRA LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17 BARCLAY STREET, BUILDING B3, NEWTOWN, PA 18940
(267) 566-8770
Mailing address
5047 CHERRYWOOD DR, MOHNTON, PA 19540-8130
(267) 566-8770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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