Lake, Jennifer Marie

Lake, Jennifer Marie is an sole proprietor health care provider with primary practice located at 2233 N. Hamline Ave., Suite 411 , Roseville MN 55113. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Lake, Jennifer Marie can be contacted via phone (612) 799-8258.

Contact Information

Primary practice address
2233 N. Hamline Ave., Suite 411 Roseville MN 55113
Phone: (612) 799-8258
Fax: (651) 330-8718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2425 Minnesota

Profile Details

NPI number 1801199302
LBN Legal business name Lake, Jennifer Marie
Credentials M.A., LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2010
Last updated Oct 22nd, 2015 - about 9 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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