Provider Demographics
NPI:1881620219
Name:LABONTE, DONALD A (MA, MSW)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:LABONTE
Suffix:
Gender:M
Credentials:MA, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 COLLEGE HILL RD
Mailing Address - Street 2:BLDG. 30E
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2776
Mailing Address - Country:US
Mailing Address - Phone:401-823-5600
Mailing Address - Fax:401-823-9666
Practice Address - Street 1:33 COLLEGE HILL RD
Practice Address - Street 2:BLDG. 30E
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2776
Practice Address - Country:US
Practice Address - Phone:401-823-5600
Practice Address - Fax:401-823-9666
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00006101YA0400X
RIMHC00054101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health