Lake, Alan Harris

Lake, Alan Harris is an sole proprietor health care provider with primary practice located at 9 Old Orchard Rd , Bloomfield CT 06002-2259. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lake, Alan Harris can be contacted via phone (860) 402-4402.

Contact Information

Primary practice address
9 Old Orchard Rd Bloomfield CT 06002-2259
Phone: (860) 402-4402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 000875 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000875 Connecticut

Profile Details

NPI number 1184735532
LBN Legal business name Lake, Alan Harris
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 14th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers