Anthony Dewayne Banks
Counselor, Addiction (Substance Use Disorder) in Euclid, OH. Individual provider (NPI-1).
NPI number1750150835
StatusActive
Last updated in NPPESDec 29, 2023
Details
- NPI
- 1750150835
- Entity type
- Individual (NPI-1)
- Name
- Anthony Dewayne Banks
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2023
- Certification date
- Oct 22, 2023
- Last updated
- Dec 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.185314 | OH | Yes |
Practice location
22639 Euclid AveEuclid, OH 44117-1622
Phone 216-404-1900 · Fax 216-404-1901
Mailing address
22639 Euclid AveEuclid, OH 44117-1622
Phone 216-404-1900 · Fax 216-404-1901
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