Doctor Name: | KATRINE M LABAN |
NPI Number: | 1104900042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC1345 |
Business Practice Address: | 8 Highwood St Waterville, ME - 049015740 |
Business Phone Number: | 2078613488 |
Business Fax Number: | 2078613470 |
Mailing Address: | 8 Highwood St, WATERVILLE |
State: | ME |
Postal Code: | 049015740 |
Phone Number: | 2078613488 |
Fax Number: | 2078613470 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LC1345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |