Individual provider · Type 1 NPI

Tessa E. Banta, LPCC

Professional Counselor · Louisville, KY

NPI number 1972919728 Active

Practice location

950 S 1st St
Louisville, KY 40203-2202

Call (502) 585-9444 Map

Fax (502) 585-9466

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1879 (KY)

Professional Counselor: Definition to come...

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About NPI 1972919728

Tessa E. Banta, LPCC's National Provider Identifier is 1972919728, issued on Jul 1, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on May 1, 2017.