Mason Richard Banks
Counselor, Mental Health in Toledo, OH. Individual provider (NPI-1).
NPI number1982302758
StatusActive
Last updated in NPPESFeb 21, 2023
Details
- NPI
- 1982302758
- Entity type
- Individual (NPI-1)
- Name
- Mason Richard Banks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2023
- Certification date
- Feb 21, 2023
- Last updated
- Feb 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
544 E Woodruff AveToledo, OH 43604-5342
Phone 419-242-9577 · Fax 419-936-7606
Mailing address
1425 Starr AveToledo, OH 43605-2456
Phone 419-936-7600 · Fax 419-936-7606
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