| NPI | 1194108852 | 
|---|---|
| Other Name | R. DALE LABRUM | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC17409)  | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-06-30 | 
| Last Update Date | 2024-06-20 |