Provider Demographics
NPI:1588418271
Name:LABAR, BECCA ANN (OP, BC)
Entity type:Individual
Prefix:
First Name:BECCA
Middle Name:ANN
Last Name:LABAR
Suffix:
Gender:F
Credentials:OP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 VAUGHN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15906-1533
Mailing Address - Country:US
Mailing Address - Phone:814-270-6050
Mailing Address - Fax:
Practice Address - Street 1:235 VAUGHN ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15906-1533
Practice Address - Country:US
Practice Address - Phone:814-270-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional