Provider Demographics
NPI:1205236437
Name:ROBERTS-LABUHN, ADRE (LMFT)
Entity type:Individual
Prefix:
First Name:ADRE
Middle Name:
Last Name:ROBERTS-LABUHN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-2012
Mailing Address - Country:US
Mailing Address - Phone:319-591-8004
Mailing Address - Fax:319-591-8030
Practice Address - Street 1:109 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-2012
Practice Address - Country:US
Practice Address - Phone:319-591-8004
Practice Address - Fax:319-591-8030
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA075286106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist