person
Mr. Gregory M. Banicki, MSED
Mental Health Counselor in Fort Wayne, Indiana
NPI 1184785693

Gregory M. Banicki is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Gregory M. Banicki practices in Fort Wayne, IN and has the professional credentials of MSED. The NPI Number for Gregory M. Banicki is 1184785693 and holds a License No. (Indiana).

The current practice location address for Gregory M. Banicki is 1910 Saint Joe Center Rd, Fort Wayne, IN and can be reached out via phone at 260-484-5599 and via fax at 260-484-5664.

Location: 1910 Saint Joe Center Rd, Fort Wayne, IN, 46825-5000
person
Provider Profile Details
NPI Number
1184785693
Provider Name
Gregory M. Banicki
Credential
MSED
Provider Entity Type
Individual
Gender
Male
Address
1910 Saint Joe Center Rd, Fort Wayne, IN, 46825-5000
Phone Number
260-484-5599
Fax Number
260-484-5664
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1910 Saint Joe Center Rd
City
State
Zip
46825-5000
Phone Number
260-484-5599
Fax Number
260-484-5664
person
Provider Business Mailing Address Details
Address
1910 Saint Joe Center Rd
City
State
Zip
46825-5000
Phone Number
260-484-5599
Fax Number
260-484-5664
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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