Doctor Name: | JENI LYNN LABBE |
NPI Number: | 1003093576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 17 Mechanic St 3rd Floor Worcester, MA - 016082402 |
Business Phone Number: | 5082344181 |
Business Fax Number: | 5082343944 |
Mailing Address: | 17 Mechanic St, 3rd Floor WORCESTER |
State: | MA |
Postal Code: | 016082402 |
Phone Number: | 5082344181 |
Fax Number: | 5082343944 |
NPI Enumeration Date: | 01/28/2008 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |