Individual
MRS. CARRIE JEAN BANASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9809 S FRANKLIN DR STE 302, FRANKLIN, WI 53132-8885
(262) 999-3495
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(262) 999-3495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2259-226
WI
101YP2500X
Professional Counselor
Primary
6867-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055240
—
WI
Enumeration date
06/04/2015
Last updated
10/03/2025
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