Individual
ANGELA SUE BANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, QMHP
Contact information
Practice address
529 KANSAS CITY ST STE 100, RAPID CITY, SD 57701-3798
(605) 348-6086
(605) 348-1050
Mailing address
529 KANSAS CITY ST STE 100, RAPID CITY, SD 57701-3798
(605) 348-6086
(605) 348-1050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC7256
SD
Other
Enumeration date
10/10/2019
Last updated
04/21/2021
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