Individual
ROBERT DALE LABRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., N.C.C., L.P.C
Contact information
Practice address
4111 E VALLEY AUTO DR STE 106, MESA, AZ 85206-4607
(602) 435-4356
(855) 564-1725
Mailing address
PO BOX 13403, MESA, AZ 85216-3403
(602) 435-4356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
LPC17409
AZ
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418668
—
AZ
Enumeration date
06/30/2015
Last updated
06/20/2024
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