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NPI Code Detail

MEDICARE: LEAH KABUE

MEDICARE: LEAH KABUE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1003181413
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH KABUE
Provider Business Mailing Address
First Line : 135 WOODSIDE TER
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01108-1119
Country : US
Telephone Number : 508-873-9036
Fax Number :
Provider Business Practice Location Address
First Line : 44 SHERMAN ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01109-3517
Country : US
Telephone Number : 413-739-5626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2012
Last Update Date : 03/19/2012

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Directions to “ LEAH KABUE ” Practice Location

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