Individual provider · Type 1 NPI

Gregory M. Banicki, M.S. ED.

Mental Health Counselor · Fort Wayne, IN

NPI number 1184785693 Active

Practice location

1910 Saint Joe Center Rd
Fort Wayne, IN 46825-5000

Call (260) 484-5599 Map

Fax (260) 484-5664

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184785693

Gregory M. Banicki, M.S. ED.'s National Provider Identifier is 1184785693, issued on Dec 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.