Individual
MICHAELA MARY BANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5255 MEMBERS PKWY NW, ROCHESTER, MN 55901-8381
(507) 218-3701
(507) 258-5503
Mailing address
5687 PROSPER AVE NW, ROCHESTER, MN 55901-2521
(651) 280-0703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3538
MN
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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