Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA KAY LAKE
Active Sole ProprietorAMANDA KAY LAKE is a Marriage & Family Therapist healthcare provider located in JANESVILLE, Wisconsin. NPI 1992998900 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · JANESVILLE, WI
Registration Details
- NPI Number
- 1992998900
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2007 (18.936267149194 yrs)
- Last Updated
- Dec 18, 2014
- Licenses
-
10097 (IA)15750 (WI)000347 (IA)903 (WI)166000869 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
113 S FRANKLIN STJANESVILLE, WI, 535483812Browse WI providers · Browse ZIP 53548
- Phone
- 6087432417
- Fax
- 6087432406
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in JANESVILLE, WI
| Name | Credential | NPI |
|---|---|---|
| DALE FLORID STEHNO | EDD | 1073580734 |
| MR. TIMOTHY FORREST PERRY | MSSW LCSW LMFT | 1932137791 |
| GREGORY E WINKLER | LCSW, LMFT | 1114072774 |
| MR. CRAIG ALLEN FEHRENBACHER | LMFT | 1467785691 |
| HILARY HANNON-MCFARLAND | MFT | 1134529365 |
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.