Individual
LINDA A BANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
814 MIMOSA BLVD, ROSWELL, GA 30075-4410
(678) 788-0669
Mailing address
4432 WINDSOR OAKS CIR, MARIETTA, GA 30066-2320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005683
GA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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