TESSA E BANTA

LOUISVILLE, KY
NPI1972919728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: KY  1879)
Enumeration Date2014-07-01
Last Update Date2017-05-01
Business Address
-- TESSA E BANTA LPCC
950 S 1ST ST
LOUISVILLE, KY 40203-2202
Phone number: 502-585-9444
Mailing Address
-- TESSA E BANTA LPCC
950 S 1ST ST
LOUISVILLE, KY 40203-2202
Phone number: 502-585-9444
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