Individual provider · Type 1 NPI
Willie H. Bannister, LPC
Professional Counselor · Lithonia, GA
NPI number
1215354022
Active
Practice location
1954 Woodlot Trl
Lithonia, GA 30058-5484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC003808 (GA) |
Professional Counselor: Definition to come...
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About NPI 1215354022
Willie H. Bannister, LPC's National Provider Identifier is 1215354022, issued on Mar 19, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lithonia, GA. The record was last updated on Mar 19, 2014.