DAKOTA MICHEAL LAKE

PORTLAND, OR
NPI1407628845
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  L11777)
Enumeration Date2023-10-30
Last Update Date2025-03-25
Business Address
Mr. DAKOTA MICHEAL LAKE LCSW
5441 S MACADAM AVE
PORTLAND, OR 97239-6106
Phone number: 971-415-5755
Mailing Address
Mr. DAKOTA MICHEAL LAKE LCSW
4750 N ALBINA AVE APT 406
PORTLAND, OR 97217-2671
Phone number: 616-821-6584
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