BRAD FITZGERALD LABASS

SANTA ROSA, CA
NPI1114548047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  53462)
Enumeration Date2020-05-01
Last Update Date2020-05-01
Business Address
BRAD FITZGERALD LABASS LMFT
2255 CHALLENGER WAY STE 107
SANTA ROSA, CA 95407-5423
Phone number: 707-565-4797
Mailing Address
BRAD FITZGERALD LABASS LMFT
1305 EVERGREEN LN
PETALUMA, CA 94954-5415
Phone number: 707-322-9994