Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROZALYNNE M BANTA, LPC
ActiveROZALYNNE M BANTA, LPC is a Counselor healthcare provider located in GRANGEVILLE, Idaho. NPI 1588936033 is currently active in the NPPES registry. Verify at CMS.
Counselor · GRANGEVILLE, ID
Registration Details
- NPI Number
- 1588936033
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2012 (14.512483269825 yrs)
- Last Updated
- Jan 30, 2012
- License
-
LPC4718 (ID)
Practice Information
- Address
-
102 N COLLEGE STGRANGEVILLE, ID, 835301912Browse ID providers · Browse ZIP 83530
- Phone
- 2089830235
- Fax
- 2089830245
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in GRANGEVILLE, ID
| Name | Credential | NPI |
|---|---|---|
| THERESA HUSTON | — | 1477938603 |
| MISS FALLON COLE HORROCKS | LPC | 1558148148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.