Individual
JENNIFER LABRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W 200 S, HYRUM, UT 84319-1529
(435) 512-3067
Mailing address
325 W 200 S, HYRUM, UT 84319-1529
(435) 512-3067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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