KEITH BANTA

LOUISVILLE, KY
NPI1861547218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KY  1194)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
Mr. KEITH BANTA LCSW
3430 NEWBURG RD SUITE 212
LOUISVILLE, KY 40218-2497
Phone number: 502-454-8800
Mailing Address
Mr. KEITH BANTA LCSW
3430 NEWBURG RD SUITE 212
LOUISVILLE, KY 40218-2497
Phone number: 502-454-8800
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