JULIA LYNN BANTA

CHICAGO, IL
NPI1801001789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180005790)
Enumeration Date2007-05-13
Last Update Date2007-07-08
Business Address
Ms. JULIA LYNN BANTA LCPC
203 N WABASH AVE SUITE 2106
CHICAGO, IL 60601-2406
Phone number: 312-551-9300
Mailing Address
Ms. JULIA LYNN BANTA LCPC
1709 N PAULINA ST #103
CHICAGO, IL 60622-1495
Phone number: 773-384-7093
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