Search › Illinois › 101YP2500X
James Lake, MS, LCPC
NPI 1518241330 · on the registry since 2011 · sole proprietor
Practice
- Address
- 440 N Main St Apt E304
Wauconda, IL 60084 - Phone
- (847) 526-6425
- Fax
- (847) 526-6425
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois