Provider Demographics
NPI:1508032392
Name:JOUBERT, STEVEN R (LMHC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:R
Last Name:JOUBERT
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 FREETOWN ST
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-2251
Mailing Address - Country:US
Mailing Address - Phone:508-801-8939
Mailing Address - Fax:
Practice Address - Street 1:26 FREETOWN ST
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-2251
Practice Address - Country:US
Practice Address - Phone:508-801-8939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health