Labrum, Robert Dale

Labrum, Robert Dale is an sole proprietor health care provider with primary practice located at 4111 E Valley Auto Dr Ste 106 , Mesa AZ 85206-4607. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Labrum, Robert Dale can be contacted via phone (602) 435-4356.

Contact Information

Primary practice address
4111 E Valley Auto Dr Ste 106 Mesa AZ 85206-4607
Phone: (602) 435-4356
Fax: (855) 564-1725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC17409 Arizona
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1194108852
LBN Legal business name Labrum, Robert Dale
Credentials M.A., N.C.C., L.P.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2015
Last updated Jun 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194108852 NPPES
Arizona MEDICAID 418668

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