Individual
MONIQUE BANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23520 EDEN ST STE C, PLAQUEMINE, LA 70764-2750
(225) 289-4621
Mailing address
58535 SAINT CLEMENT AVE, PLAQUEMINE, LA 70764-3531
(225) 776-9123
(225) 289-4318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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