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Mrs. Gloria Jean Bannasch, LPC
Professional Counselor in Appleton, Wisconsin
NPI 1477876308

Gloria Jean Bannasch is a Professional Counselor based in Appleton, WI and is specialized in Professional. Gloria Jean Bannasch practices in Appleton, WI and has the professional credentials of LPC. The NPI Number for Gloria Jean Bannasch is 1477876308 and holds a License No. 4281-125 (Wisconsin).

The current practice location address for Gloria Jean Bannasch is 711 N Lynndale Dr Ste 1A, Appleton, WI and can be reached out via phone at 920-217-7861 and via fax at 920-560-6618.

Location: 711 N Lynndale Dr Ste 1A, Appleton, WI, 54914-3078
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Provider Profile Details
NPI Number
1477876308
Provider Name
Gloria Jean Bannasch
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
711 N Lynndale Dr Ste 1A, Appleton, WI, 54914-3078
Phone Number
920-217-7861
Fax Number
920-560-6618
Provider Enumeration Date
03/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00613383 05 WI
institution
Provider Business Practice Location Address Details
Address
711 N Lynndale Dr Ste 1A
City
State
Zip
54914-3078
Phone Number
920-217-7861
Fax Number
920-560-6618
person
Provider Business Mailing Address Details
Address
711 N Lynndale Dr Ste 1A
City
State
Zip
54914-3078
Phone Number
920-217-7861
Fax Number
920-560-6618
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4281-125 (Wisconsin)
Definition
Definition to come...
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