Rozalynne M Banta, LPC
NPI #1588936033 in Grangeville, Idaho
Provider Information
- NPI Number
- 1588936033
- Entity Type
- Individual
- Name
- Rozalynne M Banta, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- LPC
- Enumeration Date
- Jan 30, 2012
- Last Updated
- Jan 30, 2012
Practice Location
- Address
- 102 N COLLEGE ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1912
- Phone
- (208) 983-0235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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