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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER MARIE LAKE, M.A., LMFT

Active Sole Proprietor

JENNIFER MARIE LAKE, M.A., LMFT is a Marriage & Family Therapist healthcare provider located in ROSEVILLE, Minnesota. NPI 1801199302 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · ROSEVILLE, MN

Registration Details

NPI Number
1801199302
Provider Type
Individual
Gender
Female
NPI Issued
Dec 6, 2010 (15.667239972602 yrs)
Last Updated
Oct 22, 2015
License
2425 (MN)
Sole Proprietor
Yes

Practice Information

Address
2233 N. HAMLINE AVE., SUITE 411
ROSEVILLE, MN, 55113
Browse MN providers · Browse ZIP 55113
Phone
6127998258
Fax
6513308718
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in ROSEVILLE, MN

Name Credential NPI
PAMELA JOHNSON MA, LMFT, LP 1235158940
MR. JAMES ARCHIE PEASLEY LMFT 1790858264
CHERYL KAY MATASCASTILLO L.M.F.T. 1639243173
SHARON R FRIES M.A., L.M.F.T. 1043388341
MRS. LOUISE MAE L'ALLIER LMFT 1124243993
AYANNA ELIZABETH DUREN M.A., LAMFT 1942410758
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.