Individual
JENNIFER A. LABONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHCS, LCAS,CCS
Contact information
Practice address
3802 ROBERT PORCHER WAY, GREENSBORO, NC 27410-2190
(919) 332-2644
Mailing address
3802 ROBERT PORCHER WAY, GREENSBORO, NC 27410-2190
(336) 389-6464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS-20543
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-3363
NC
101YP2500X
Professional Counselor
Primary
S8238
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356630909
HUMANA
NC
01
—
1356630909
UBH/OPTUM
—
05
—
1356630909
—
NC
01
—
182K5
BCBS
NC
01
—
600782-093
MAGELLAN
NC
Enumeration date
04/05/2011
Last updated
10/09/2022
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