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Individual

MR. JAMES EVAN LAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, PC, ATR

Contact information

Practice address
843 N CLEVELAND MASSILLON RD, FAIRLAWN, OH 44333-2184
(330) 723-7977
(330) 239-8599
Mailing address
272 SOMERSET RD, AKRON, OH 44313-4533
(330) 780-7999

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0008277
OH
221700000X
Art Therapist
21-169
OH

Other

Enumeration date
12/18/2021
Last updated
12/18/2021
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