Individual provider · Type 1 NPI

Jodi Leeann Bane, LPC

Professional Counselor · Mineola, TX

NPI number 1629694823 Active

Practice location

112 Wigley St
Mineola, TX 75773-2138

Call (903) 780-4488 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X73224 (TX)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1629694823

Jodi Leeann Bane, LPC's National Provider Identifier is 1629694823, issued on Jun 23, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mineola, TX. The record was last updated on Jun 23, 2020.