Individual provider · NPI-1

Chelsea Banks, MMFT, LCAS-A

Counselor, Addiction (Substance Use Disorder) · Rocky Mount, NC

NPI number1366916447
StatusActive
Last updated in NPPESJan 11, 2019

Details

NPI
1366916447
Entity type
Individual (NPI-1)
Name
Chelsea Banks
Credential
MMFT, LCAS-A
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 11, 2019
Last updated
Jan 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LCAS-25105NCYes

Practice location

3208 Sunset Ave Ste B
Rocky Mount, NC 27804-3590

Phone 252-212-5524 · Fax 252-212-5844

Mailing address

1627 Marvelle Ave
Rocky Mount, NC 27803-2328

Phone 610-360-6802

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