Individual provider · NPI-1

Michael Banach, MS

Counselor, Addiction (Substance Use Disorder) · Doylestown, PA

NPI number1992006530
StatusActive
Last updated in NPPESNov 13, 2010

Details

NPI
1992006530
Entity type
Individual (NPI-1)
Name
Michael Banach
Credential
MS
Sex
Male
Sole proprietor
No
Enumeration date
Nov 13, 2010
Last updated
Nov 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

711 Hyde Park
Doylestown, PA 18902-6612

Phone 610-644-6464 · Fax 610-644-4066

Mailing address

1440 Russell Rd
Paoli, PA 19301-1236

Phone 610-644-6464 · Fax 610-644-4066

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