Johnny Banks, B.A.
Social Worker in Jacksonville, FL. Individual provider (NPI-1).
NPI number1174803225
StatusActive
Last updated in NPPESMar 13, 2019
Details
- NPI
- 1174803225
- Entity type
- Individual (NPI-1)
- Name
- Johnny Banks
- Credential
- B.A.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2011
- Last updated
- Mar 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
910 N Jefferson StJacksonville, FL 32209-6810
Phone 904-360-7022 · Fax 904-798-4544
Mailing address
2568 Maple Stand CtJacksonville, FL 32221-3839
Phone 904-781-2272 · Fax 904-328-3756
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