Kimberley Yvonne Banta, LPC

NPI #1811548803 in Ft Eisenhower, Georgia

Provider Information

NPI Number: 1811548803
Entity Type: Individual
Name: Kimberley Yvonne Banta, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Sep 22, 2019
Last Updated: Dec 20, 2023

Practice Location

Address: 300 W HOSPITAL RD
City: Ft Eisenhower
State: Georgia
ZIP Code: 30905-5741
Phone: (706) 787-8656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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