Doctor Name: | JENNIFER A. LABONTE |
NPI Number: | 1356630909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC, LCAS, NCC |
License Number: | 3363 |
Business Practice Address: | 205 Balfour Dr Archdale, NC - 272633117 |
Business Phone Number: | 3364310700 |
Business Fax Number: | 3364310762 |
Mailing Address: | 284 Executive Park Dr., Suite 100 CONCORD |
State: | NC |
Postal Code: | 280251894 |
Phone Number: | 7049391118 |
Fax Number: | 7049391173 |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3363 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |