National Provider Identifier
Kendall Julianna Lake, LMHC, CASAC-ADVANCED
Kendall Julianna Lake, LMHC, CASAC-ADVANCED is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Sanborn, NY and a listed phone number of (716) 638-9222.
Profile Overview
- NPI
- 1942098975
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- April 29, 2025
- Last Updated
- May 07, 2025
Practice Location
- 6302 Inducon Dr E
- Sanborn, NY 14132-9015
Phone: (716) 638-9222
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1942098975
- Entity Type
- Individual
- Last Name
- Lake
- First Name
- Kendall
- Middle Name
- Julianna
- Name Prefix
- MS.
- Credential
- LMHC, CASAC-ADVANCED
- Mailing Street Address
- 6302 Inducon Dr E
- Mailing City
- Sanborn
- Mailing State
- NY
- Mailing ZIP Code
- 14132-9015
- Mailing Country
- US
- Mailing Phone
- (716) 638-9222
- Mailing Fax
- (716) 638-9222
- Practice Street Address
- 6302 Inducon Dr E
- Practice City
- Sanborn
- Practice State
- NY
- Practice ZIP Code
- 14132-9015
- Practice Country
- US
- Practice Phone
- (716) 638-9222
- Practice Fax
- (716) 638-9222
- Enumeration Date
- April 29, 2025
- Last Updated
- May 07, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)