MR. Willie H Bannister, LPC

NPI #1215354022 in Lithonia, Georgia

Provider Information

NPI Number: 1215354022
Entity Type: Individual
Name: MR. Willie H Bannister, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 19, 2014
Last Updated: Mar 19, 2014

Practice Location

Address: 1954 WOODLOT TRL
City: Lithonia
State: Georgia
ZIP Code: 30058-5484
Phone: (678) 637-8562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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