| Ms Kendall Julianna Lake, LMHC, CASAC-ADVANCED | |
|
6302 Inducon Dr E, Sanborn, NY 14132-9015 | |
| (716) 638-9222 | |
| (716) 638-9222 |
| Full Name | Ms Kendall Julianna Lake |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6302 Inducon Dr E, Sanborn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942098975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 39580 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | 015946 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kendall Julianna Lake, LMHC, CASAC-ADVANCED 6302 Inducon Dr E, Sanborn, NY 14132-9015 Ph: (716) 638-9222 | Ms Kendall Julianna Lake, LMHC, CASAC-ADVANCED 6302 Inducon Dr E, Sanborn, NY 14132-9015 Ph: (716) 638-9222 |
Ralph Wilson, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Shannon O'keeffe, BS, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Ms. Malerie Marie Staskiewicz, Counselor Medicare: Medicare Enrolled Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 | |
Joshua Bradley, Counselor Medicare: Medicare Enrolled Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 | |
Kennedy Lewandowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6302 Inducon Dr E, Sanborn, NY 14132 Phone: 716-638-9222 | |
Patricia L Pasculle, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Brittany Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 |