Individual
JULIE BANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
908 MAIN ST, SUITE 130, LOUISVILLE, CO 80027-1867
(720) 441-4304
Mailing address
908 MAIN ST, SUITE 130, LOUISVILLE, CO 80027-1867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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