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Individual

JUSTIN BANHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
501 20TH ST, GREELEY, CO 80639-6900
(970) 351-1890
Mailing address
501 20TH ST, GREELEY, CO 80639-6900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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