MICHELLE LAKE

JACKSON, MI
NPI1720533581
Former NameMICHELE A CAMPA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401017419)
Additional Taxonomies247200000X Technician, Other
Enumeration Date2016-08-22
Last Update Date2019-06-17
Business Address
MICHELLE LAKE MA, LLPC
226 ORANGE ST
JACKSON, MI 49202-3652
Phone number: 517-750-8332
Mailing Address
MICHELLE LAKE MA, LLPC
226 ORANGE ST
JACKSON, MI 49202-3652
Phone number: 517-612-3037