Lake, Ricky B
Lake, Ricky B is an sole proprietor health care provider with primary practice located at 793 Old Route 119 Hwy N , Indiana PA 15701-1372. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Lake, Ricky B can be contacted via phone (724) 465-5576.Contact Information
Primary practice address
793 Old Route 119 Hwy N
Indiana PA 15701-1372
Phone: (724) 465-5576
Fax: (724) 465-5532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC004272 | Pennsylvania |
Profile Details
| NPI number | 1891893699 |
|---|---|
| LBN Legal business name | Lake, Ricky B |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 30th, 2010 - about 15 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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