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WILLIE BANNISTER, LPC

LPC

Professional Counselor

NPI: 1215354022IndividualAccepts Medicare

Specialties, Licenses & Credentials

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

LPC003808(GA)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 1996

Contact & Hours

Address
1954 WOODLOT TRL
LITHONIA, GA 30058

Quick Facts

NPI
1215354022
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
30

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