Individual
JONATHAN LABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
24-QMHP-R-3237
OR
106H00000X
Marriage & Family Therapist
Primary
R10461
OR
Other
Enumeration date
11/04/2024
Last updated
12/03/2024
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