CONSTANCE J BANTA

MORGANTOWN, WV
NPI1134405442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WV  2018)
Enumeration Date2011-11-01
Last Update Date2011-11-01
Business Address
-- CONSTANCE J BANTA LPC
930 CHESTNUT RIDGE RD
MORGANTOWN, WV 26505-2807
Phone number: 304-598-4214
Mailing Address
-- CONSTANCE J BANTA LPC
PO BOX 780
MORGANTOWN, WV 26507-0780
Phone number: 304-293-7401
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