Organization
LAKE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA LAKE LPC (OWNER)
(208) 739-6121
Entity
Organization
Contact information
Practice address
620 S IDAHO AVE, FRUITLAND, ID 83619-2607
(208) 739-6121
Mailing address
2719 DOGWOOD AVE, FRUITLAND, ID 83619-5067
(208) 739-6121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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