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 |