Individual
EMMANUEL ENOCH BANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3612 W DUNLAP AVE STE D, PHOENIX, AZ 85051-5300
(774) 242-9221
(999) 999-9999
Mailing address
3612 W DUNLAP AVE STE D, PHOENIX, AZ 85051-5300
(774) 242-9221
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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