MRS. Christine Marie Banta, LADC

NPI #1295852754 in Morris, Minnesota

Provider Information

NPI Number: 1295852754
Entity Type: Individual
Name: MRS. Christine Marie Banta, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Mar 22, 2007
Last Updated: Nov 25, 2019

Practice Location

Address: 310 MONTANA AVE
City: Morris
State: Minnesota
ZIP Code: 56267-1434
Phone: (320) 288-9138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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