Matthew Banach, LCSW

NPI #1891255253 in Fountain, Colorado

Provider Information

NPI Number
1891255253
Entity Type
Individual
Name
Matthew Banach, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 21, 2019
Last Updated
Aug 6, 2024

Practice Location

Address
105 S MAIN ST
ZIP Code
80817-2215
Phone
(719) 217-4609

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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