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Search › Wisconsin › Marriage & Family Therapist

Amanda Lake

NPI 1992998900 · on the registry since 2007 · sole proprietor

Practice

Address
113 S Franklin St
Janesville, WI 53548
Phone
(608) 743-2417
Fax
(608) 743-2406
Organisation at this address
Healthnet Of Rock County, Inc.
Healthnet Of Rock County, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
Marriage & Family Therapist
106H00000X
Also registered as
Addiction (Substance Use Disorder) Counselor
Addiction (Substance Use Disorder) Counselor
Marriage & Family Therapist
Marriage & Family Therapist
Licence states on file
IA, WI, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-18
Status
Not present in the most recent federal file

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 Wisconsin