Provider Demographics
NPI:1508696097
Name:LABRADOR, ESTHER (LPC-S)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:LABRADOR
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 PALAMINO LN
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-2001
Mailing Address - Country:US
Mailing Address - Phone:803-479-7174
Mailing Address - Fax:
Practice Address - Street 1:1055 PALAMINO LN
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-2001
Practice Address - Country:US
Practice Address - Phone:803-479-7174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7083101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor