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THOMAS BANTA, LCAC

LCAC

Addiction (Substance Use Disorder) Counselor

NPI: 1528804523Individual

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

88001398A(IN)

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

87001744A(IN)

Contact & Hours

Address
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130

Quick Facts

NPI
1528804523
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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