MEDICARE: AARA ABU LABAN LPC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	88366	TX

General Provider Information

NPI Number	:	1942926407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARA ABU LABAN LPC-A

Provider Business Mailing Address
First Line	:	13810 SHAVANO GLENN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-5818
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13810 SHAVANO GLENN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-5818
Country	:	US
Telephone Number	:	512-677-5703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	10/17/2022

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Directions to “ AARA ABU LABAN LPC-A” Practice Location

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