Michelle Lake's National Provider Identifier (NPI) Details
Michelle Lake, MA, LLPC
NPI: 1720533581
Enumeration Date: 2016-08-22
Last updated: 2019-06-17
Sole Proprietor: NO
Status: active
Postal Address: 226 ORANGE ST, JACKSON, MI
Phone: 517-750-8332
Primary Practice Address: 226 ORANGE ST, JACKSON, MI
Practice's phone: 517-612-3037