Matthew Banas
NPI #1093320608 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1093320608
- Entity Type
- Individual
- Name
- Matthew Banas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 10, 2020
- Last Updated
- Sep 16, 2021
Practice Location
- Address
- 750 VETERANS PKWY UNIT 100
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-4950
- Phone
- (262) 248-7942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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