Amanda Lake
Counselor · Eureka, CA
NPI number
1457487779
Practice location
1100 California StEureka, CA 95501-1621
- Phone
- (707) 443-8322
- Fax
- (707) 445-1445
NPI record
- NPI
- 1457487779
- Entity type
- Individual (Type 1)
- Enumeration date
- February 23, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
Mailing address
4906 Valley East BlvdApt. H
Arcata, CA 95521-4680
About Amanda Lake
Amanda Lake is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1100 California St, Eureka, CA 95501-1621. The NPI number 1457487779 was assigned on February 23, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Amanda Lake?
The NPI number is 1457487779.
What is the phone number of Amanda Lake?
The phone number listed for the practice location is (707) 443-8322.
Where is Amanda Lake located?
1100 California St, Eureka, CA 95501-1621.
What is the taxonomy code for Amanda Lake?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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