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Mrs. Carrie Jean Banaszak, LPC
Professional Counselor in Green Bay, Wisconsin
NPI 1144600149

Carrie Jean Banaszak is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Carrie Jean Banaszak practices in Green Bay, WI and has the professional credentials of LPC. The NPI Number for Carrie Jean Banaszak is 1144600149 and holds a License No. 2259-226 (Wisconsin).

The current practice location address for Carrie Jean Banaszak is 123 N Oakland Ave, Green Bay, WI and can be reached out via phone at 920-770-4088.

Location: 123 N Oakland Ave, Green Bay, WI, 54303-2831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144600149
Provider Name
Carrie Jean Banaszak
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
123 N Oakland Ave, Green Bay, WI, 54303-2831
Phone Number
920-770-4088
Fax Number
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100055240 05 WI
institution
Provider Business Practice Location Address Details
Address
123 N Oakland Ave
City
Green Bay
State
Wisconsin
Zip
54303-2831
Phone Number
920-770-4088
Fax Number
person
Provider Business Mailing Address Details
Address
123 N Oakland Ave
City
Green Bay
State
Wisconsin
Zip
54303-2831
Phone Number
920-770-4088
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2259-226 (Wisconsin)
Definition
Definition to come...
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