Provider Demographics
NPI:1649935826
Name:LABBE-WATSON, JENNA
Entity type:Individual
Prefix:DR
First Name:JENNA
Middle Name:
Last Name:LABBE-WATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 W MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-6102
Mailing Address - Country:US
Mailing Address - Phone:207-390-0737
Mailing Address - Fax:
Practice Address - Street 1:87 ELM ST STE 204B
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-1959
Practice Address - Country:US
Practice Address - Phone:207-691-4461
Practice Address - Fax:855-691-0359
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS2379103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical