CARRIE JEAN BANASZAK

GREEN BAY, WI
NPI1144600149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  6867-125)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: WI  2259-226)
Enumeration Date2015-06-04
Last Update Date2021-09-17
Business Address
Mrs. CARRIE JEAN BANASZAK LPC
123 N OAKLAND AVE
GREEN BAY, WI 54303-2831
Phone number: 920-770-4088
Mailing Address
Mrs. CARRIE JEAN BANASZAK LPC
123 N OAKLAND AVE
GREEN BAY, WI 54303-2831
Phone number: 920-770-4088