person
Mr. Willie H Bannister, LPC
Professional Counselor in Lithonia, Georgia
NPI 1215354022

Willie H Bannister is a Professional Counselor based in Lithonia, GA and is specialized in Professional. Willie H Bannister practices in Lithonia, GA and has the professional credentials of LPC. The NPI Number for Willie H Bannister is 1215354022 and holds a License No. LPC003808 (Georgia).

The current practice location address for Willie H Bannister is 1954 Woodlot Trl, Lithonia, GA and can be reached out via phone at 678-637-8562.

Location: 1954 Woodlot Trl, Lithonia, GA, 30058-5484
person
Provider Profile Details
NPI Number
1215354022
Provider Name
Willie H Bannister
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1954 Woodlot Trl, Lithonia, GA, 30058-5484
Phone Number
678-637-8562
Fax Number
Provider Enumeration Date
03/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1954 Woodlot Trl
City
State
Zip
30058-5484
Phone Number
678-637-8562
Fax Number
person
Provider Business Mailing Address Details
Address
1954 Woodlot Trl
City
State
Zip
30058-5484
Phone Number
678-637-8562
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC003808 (Georgia)
Definition
Definition to come...
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