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Individual

TANYA M BANAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
55 WINTHROP ST, NEW BRITAIN, CT 06052-1728
(860) 224-8192
Mailing address
270 JOHN DOWNEY DR, NEW BRITAIN, CT 06051-2906
(860) 826-1358
(860) 229-8886

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002149
CT

Other

Enumeration date
05/18/2012
Last updated
05/18/2012
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