RICKY B LAKE

INDIANA, PA
NPI1891893699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: PA  PC004272)
Enumeration Date2006-09-20
Last Update Date2010-11-30
Business Address
-- RICKY B LAKE LPC
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701-1372
Phone number: 724-465-5576
Mailing Address
-- RICKY B LAKE LPC
253 OLD PLANK RD
BUTLER, PA 16002-3809
Phone number:
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