Provider Demographics
NPI:1417380726
Name:LABBE, MICHAEL ALLEN (LCPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ALLEN
Last Name:LABBE
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 BLAIR MILL RD
Mailing Address - Street 2:SUITE 514
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4853
Mailing Address - Country:US
Mailing Address - Phone:240-350-4424
Mailing Address - Fax:240-235-3707
Practice Address - Street 1:5410 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3764
Practice Address - Country:US
Practice Address - Phone:240-350-4424
Practice Address - Fax:240-235-3707
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-11
Last Update Date:2013-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health