CHRISTOPHER TODD LAKE

VANCOUVER, WA
NPI1114246535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP00004949)
Enumeration Date2010-05-25
Last Update Date2017-10-13
Business Address
CHRISTOPHER TODD LAKE MPH,CDP
7700 NE 26TH AVE
VANCOUVER, WA 98665-0672
Phone number: 360-397-8228
Mailing Address
CHRISTOPHER TODD LAKE MPH,CDP
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-397-8228
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