Lake, Amanda Kay

Lake, Amanda Kay is an sole proprietor health care provider with primary practice located at 113 S Franklin St , Janesville WI 53548-3812. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Lake, Amanda Kay can be contacted via phone (608) 743-2417.

Contact Information

Primary practice address
113 S Franklin St Janesville WI 53548-3812
Phone: (608) 743-2417
Fax: (608) 743-2406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10097 Iowa
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15750 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000347 Iowa
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 903 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000869 Illinois

Profile Details

NPI number 1992998900
LBN Legal business name Lake, Amanda Kay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2007
Last updated Dec 18th, 2014 - about 10 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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