Lake, Amanda

Lake, Amanda is an individual health care provider with primary practice located at 1100 California St , Eureka CA 95501-1621. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lake, Amanda can be contacted via phone (707) 443-8322.

Contact Information

Primary practice address
1100 California St Eureka CA 95501-1621
Phone: (707) 443-8322
Fax: (707) 445-1445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1457487779
LBN Legal business name Lake, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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