COREY LAKE, CDCA, PRS-HS

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1467220392

Practice Address

2065 STONERIDGE DR
Circleville, OH 43113

Phone: (740) 500-1391

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Peer Specialist 175T00000X No APS.004709 (OH)
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes CDCA.192016 (OH)

Frequently Asked Questions

NPI 1467220392 is the National Provider Identifier for COREY LAKE, CDCA, PRS-HS, a Counselor - Addiction (Substance Use Disorder) provider located in Circleville, OH. This NPI was enumerated on December 20, 2023.
COREY LAKE, CDCA, PRS-HS practices at 2065 STONERIDGE DR, Circleville, OH 43113.

Quick Facts

NPI
1467220392
Type
Individual
Enumerated
Dec 20, 2023
Last Updated
Apr 23, 2025

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