MICHELLE LAKE

JACKSON, MI
NPI1720533581
Former NameMICHELE A CAMPA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401017419)
Enumeration Date2016-08-22
Last Update Date2025-11-06
Business Address
MICHELLE LAKE LPC
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-205-5971
Mailing Address
MICHELLE LAKE LPC
1 FORD PL STE 3A
DETROIT, MI 48202-3450
Phone number: 313-874-4806