Marybeth Banach, MS, LPC

NPI #1760861413 in Hartland, Wisconsin

Provider Information

NPI Number
1760861413
Entity Type
Individual
Name
Marybeth Banach, MS, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MS, LPC
Enumeration Date
May 28, 2015
Last Updated
May 28, 2015

Practice Location

Address
510 HARTBROOK DR STE 201
ZIP Code
53029-1444
Phone
(262) 853-9084

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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