Individual
BRENT LABHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17720 NE HALSEY, FAIRVIEW, OR 97024
(503) 654-7654
(503) 654-7333
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(503) 206-8645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
06/21/2016
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