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

RICKY B LAKE JR., LPC

Active Sole Proprietor

RICKY B LAKE JR., LPC is a Professional Counselor healthcare provider located in INDIANA, Pennsylvania. NPI 1891893699 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · INDIANA, PA

Registration Details

NPI Number
1891893699
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.87743305422 yrs)
Last Updated
Nov 30, 2010
License
PC004272 (PA)
Sole Proprietor
Yes

Practice Information

Address
793 OLD ROUTE 119 HWY N
INDIANA, PA, 157011372
Browse PA providers · Browse ZIP 15701
Phone
7244655576
Fax
7244655532
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in INDIANA, PA

Name Credential NPI
MRS. DEBRA AMANDA SEGER-JADZAK M. ED. 1255328944
DR. KATHRYN BONACH PHD 1316935935
MRS. MARGARET P. VANSANT LPC 1992793921
JODY LEE AURANDT LPC 1275522575
MR. EDWARD J. SMITH M.A. 1033191820
JAMES M. SUTT M.A. 1669456141
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.