LYDIA RUTH BANTON

INDIANAPOLIS, IN
NPI1831353911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002262A)
Enumeration Date2008-07-17
Last Update Date2014-03-12
Business Address
-- LYDIA RUTH BANTON LMHC
5470 EAST 16TH STREET
INDIANAPOLIS, IN 46218-4861
Phone number: 317-355-5394
Mailing Address
-- LYDIA RUTH BANTON LMHC
6626 E 75TH STREET SUITE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7561