Lake, Pamela M

Lake, Pamela M is an individual health care provider with primary practice located at 977A Taylor St Sw , Conyers GA 30012-5357. 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Lake, Pamela M can be contacted via phone (770) 918-6677.

Contact Information

Primary practice address
977A Taylor St Sw Conyers GA 30012-5357
Phone: (770) 918-6677
Fax: (770) 918-6686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC002727 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC002727 Georgia

Profile Details

NPI number 1598816266
LBN Legal business name Lake, Pamela M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 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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