Individual
MS. JAN DENEAN BANISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPC/S
Contact information
Practice address
716 ANDERSON STREET SUITE B, BELTON, SC 29627-2148
(864) 933-0793
(800) 340-0223
Mailing address
716 ANDERSON STREET SUITE B, BELTON, SC 29627-2148
(864) 933-0793
(800) 340-0223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC3524
SC
101YM0800X
Mental Health Counselor
Primary
3524
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1336
—
SC
Enumeration date
12/20/2006
Last updated
09/10/2019
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