Keith Merwin Banker Jr., MHRS
Counselor, Mental Health in Nevada City, CA. Individual provider (NPI-1).
NPI number1306405774
StatusActive
Last updated in NPPESNov 19, 2020
Details
- NPI
- 1306405774
- Entity type
- Individual (NPI-1)
- Name
- Keith Merwin Banker Jr.
- Credential
- MHRS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2019
- Certification date
- Nov 19, 2020
- Last updated
- Nov 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 225400000X | Rehabilitation Practitioner | – | – | |
| 101Y00000X | Counselor | – | CA |
Practice location
24077 State Highway 49Nevada City, CA 95959-8519
Phone 530-265-9057
Mailing address
24077 State Highway 49Nevada City, CA 95959-8519
Phone 530-265-9057
Other practice locations
650 Howe Ave Bldg 400-A
Sacramento, CA 95825-4731
Sacramento, CA 95825-4731
Phone 505-516-2178
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