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NPI Code Detail

MEDICARE: JENNIFER ZANG LAKE LPC

MEDICARE: JENNIFER ZANG LAKE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.020014IL

General Provider Information

NPI Number : 1558240176
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ZANG LAKE LPC
Provider Business Mailing Address
First Line : 2006 W HUTCHINSON ST FL 1
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8 S MICHIGAN AVE STE 2800
Second Line :
City : CHICAGO
State : IL
Zip : 60603-3326
Country : US
Telephone Number : 313-570-9831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2025
Last Update Date : 08/28/2025

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Directions to “ JENNIFER ZANG LAKE LPC” Practice Location

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