Constance J Banta, LPC
NPI #1134405442 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1134405442
- Entity Type
- Individual
- Name
- Constance J Banta, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Nov 1, 2011
- Last Updated
- Nov 1, 2011
Practice Location
- Address
- 930 CHESTNUT RIDGE RD
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26505-2807
- Phone
- (304) 598-4214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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