Provider Demographics
NPI:1326479163
Name:LABAW, MICHELE S (CADC, CCTS)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:S
Last Name:LABAW
Suffix:
Gender:F
Credentials:CADC, CCTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PLYMOUTH CT
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-3124
Mailing Address - Country:US
Mailing Address - Phone:609-213-0531
Mailing Address - Fax:
Practice Address - Street 1:6 PLYMOUTH CT
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-3124
Practice Address - Country:US
Practice Address - Phone:609-213-0531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)