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Individual

JENNIFER A. LABONTE

Active
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Individual

JENNIFER A. LABONTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LCMHCS, LCAS,CCS

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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