Individual
MRS. SARA LABELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(346) 261-1837
Mailing address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 626-1183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401015104
MI
101YP2500X
Professional Counselor
Primary
6401018780
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MI
Enumeration date
09/23/2015
Last updated
11/20/2020
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