Individual
KRISTEN BANISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1601 N TUCSON BLVD, TUCSON, AZ 85716-3425
(928) 225-1845
Mailing address
619 N 9TH AVE, TUCSON, AZ 85705-8340
(928) 225-1845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17056
AZ
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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