Lake, Jennifer

Lake, Jennifer is an sole proprietor health care provider with primary practice located at 5557 Baltimore Ave Ste 500-1552 , Hyattsville MD 20781-1922. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lake, Jennifer can be contacted via phone (443) 201-1911.

Contact Information

Primary practice address
5557 Baltimore Ave Ste 500-1552 Hyattsville MD 20781-1922
Phone: (443) 201-1911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LGP10409 Maryland

Profile Details

NPI number 1992395073
LBN Legal business name Lake, Jennifer
Credentials M.ED, LGPC, ADT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2021
Last updated May 14th, 2021 - about 3 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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