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NPI 1417380726

NPI 1417380726 : MICHAEL ALLEN LABBE LCPC : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1417380726
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL ALLEN LABBE LCPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/11/2013
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    Last Update Date     |    08/11/2013
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Provider Practice Location Address
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    Address Line         |    5410 MCKINLEY ST 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20817-3764
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    Country              |    US
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    Telephone            |    240-350-4424
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    Fax                  |    240-235-3707
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Provider Business Mailing Address
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    Address Line         |    1401 BLAIR MILL RD SUITE 514
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    City                 |    SILVER SPRING
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    State                |    MD
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    Zip                  |    20910-4853
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    Country              |    US
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    Telephone            |    240-350-4424
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    Fax                  |    240-235-3707
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LC4578
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    License Number State |    MD
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