Provider Demographics
NPI:1326644311
Name:LABRIEL, JANNET M (MS)
Entity Type:Individual
Prefix:MRS
First Name:JANNET
Middle Name:M
Last Name:LABRIEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 BRYANT AVE APT 4E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10474-7415
Mailing Address - Country:US
Mailing Address - Phone:646-570-9872
Mailing Address - Fax:
Practice Address - Street 1:4130 75TH ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1986
Practice Address - Country:US
Practice Address - Phone:718-899-3269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health