Provider Demographics
NPI:1083705610
Name:LABUNDY, JAMES F (LCSW, CSAC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:LABUNDY
Suffix:
Gender:M
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 SAINTE GENEVIEVE AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-1122
Mailing Address - Country:US
Mailing Address - Phone:573-756-3531
Mailing Address - Fax:
Practice Address - Street 1:605 WALLACE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-9217
Practice Address - Country:US
Practice Address - Phone:573-756-2108
Practice Address - Fax:573-756-1865
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0002501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical