MRS. CHRISTINE MARIE BANTA LADC
NPI 1295852754
Counselor - Addiction (Substance Use Disorder) in Morris, MN
Active since March 22, 2007
About Mrs. Christine Marie Banta Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CHRISTINE MARIE BANTA LADC (NPI 1295852754) is an individual addiction (substance use disorder) provider in Morris, Minnesota, licensed in Minnesota (302328) and active in the NPI registry since March 2007. She maintains a secondary practice location in Alexandria.
NPPES Registry Identity
NPI1295852754
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CHRISTINE MARIE BANTACredential: LADC
Location Address310 MONTANA AVEMorris, MN 56267-1434
Mailing Address310 Montana AveMorris, MN 56267-1434 · (320) 288-9138
Phone(320) 288-9138
Sole ProprietorYes
Enumeration DateMarch 22, 2007
Last NPPES UpdateNovember 25, 2019
✔ NPI 1295852754 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302328
310 MONTANA AVE, Morris, MN 56267
Secondary Practice Location 1
Location 1222 9th Ave WAlexandria, MN 56308-2221 · Phone (320) 763-3912
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295852754, enumerated as an "individual" on March 22, 2007.
The provider is located at 310 MONTANA AVE MORRIS, MN 56267 and the phone number is (320) 288-9138.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
