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Individual

MS. ANGELA L LAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8826 SANTA FE DR STE 204, OVERLAND PARK, KS 66212-3672
(913) 533-7499
(913) 533-7499
Mailing address
8826 SANTA FE DR STE 204, OVERLAND PARK, KS 66212-3672
(913) 533-7499
(913) 533-7499

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 1049
KS
101YM0800X
Mental Health Counselor
LPC 1049
KS

Other

Enumeration date
02/01/2007
Last updated
10/13/2020
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