MS. Kimmy Jo Lake CDP

  • NPI 1629414917
According to our database, the NPI number for MS. Kimmy Jo Lake CDP is 1629414917 and activated since 10 years ago. MS. Kimmy Jo Lake CDP is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 758 St Helens Ave, Tacoma, WA 98402. You can also contact MS. Kimmy Jo Lake CDP via telephone number is (253) 274-0484. Provider NPI information was last updated on 05/14/2013.

Recently Active NPIs

Overview of MS. Kimmy Jo Lake CDP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/14/2013
  • Last updated: 05/14/2013

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: CP60311481
  • License State: WA

Provider Mailing Address

  • Address: 758 St Helens Ave
    Tacoma, WA 98402
  • Phone: 253-274-0484
  • Fax: 253-274-1457

Provider Practice Location

  • Address: 758 St Helens Ave
    Tacoma, WA 98402
  • Phone: 253-274-0484
  • Fax: 253-274-1457

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: CP60311481
  • License State: WA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1003939034
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MS. Kimmy Jo Lake CDP?
  • A: The npi number for MS. Kimmy Jo Lake CDP is 1629414917.
  • Q: What are MS. Kimmy Jo Lake CDP's specialties?
  • A: MS. Kimmy Jo Lake CDP's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MS. Kimmy Jo Lake CDP?
  • A: The medical license number for MS. Kimmy Jo Lake CDP is CP60311481 and issued in WA in USA.
  • Q: Where is MS. Kimmy Jo Lake CDP practice location?
  • A: MS. Kimmy Jo Lake CDP is practicing at 758 St Helens Ave, Tacoma, WA 98402.
  • Q: How to contact MS. Kimmy Jo Lake CDP?
  • A: You can contact MS. Kimmy Jo Lake CDP via 253-274-0484.