NPI 1245997642

Harley William Labarge

Practitioner Peer Specialist Saranac Lake, NY

Practice location

Address: 159 Glenwood Dr, Saranac Lake, NY 12983-2385
Phone: (518) 897-6433

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CRPA-2375 (NY)

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Registry record

NPI: 1245997642
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2021
Record last updated: 19 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.