Organization
BANTA COUNSELING SERVICES LLC
Active
Other names
Kerry Banta
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRY DAVENPORT BANTA LPC (OWNER)
(717) 503-5909
Entity
Organization
Contact information
Practice address
3461 MARKET ST STE 104, CAMP HILL, PA 17011-4412
(717) 503-5909
Mailing address
218 N 29TH ST, CAMP HILL, PA 17011-2904
(717) 503-5909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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