Individual provider · Type 1 NPI

Kristie Bane

Mental Health Counselor · Pacoima, CA

NPI number 1083840235 Active

Practice location

12510 Van Nuys Blvd Ste 201
Pacoima, CA 91331-6732

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Mental Health Counselor Primary 101YM0800XASW96765 (CA)
Social Worker 104100000X96765 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1083840235

Kristie Bane's National Provider Identifier is 1083840235, issued on Jun 2, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pacoima, CA. The record was last updated on Feb 5, 2021.