Jill Banta

NPI #1437353463 in Shepherdsville, Kentucky

Provider Information

NPI Number: 1437353463
Entity Type: Individual
Name: Jill Banta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 13, 2007
Last Updated: Jun 9, 2011

Practice Location

Address: 130 S JOE B HALL AVE
City: Shepherdsville
State: Kentucky
ZIP Code: 40165-0690
Phone: (502) 589-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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