Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003093576 |
---|---|
Provider Name | Jeni Lynn Labbe |
First Address | Walpole, MA 02081-2815 |
Second Address | Walpole, MA 02081-2815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2008 |
Last Update Date | 24/08/2020 |