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NPI Code Detail

MEDICARE: CHRISTINA L BANKS BS

MEDICARE: CHRISTINA L BANKS BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorIN

General Provider Information

NPI Number : 1033505789
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA L BANKS BS
Provider Business Mailing Address
First Line : PO BOX 568
Second Line :
City : CORBIN
State : KY
Zip : 40702-0568
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7941 CASTLEWAY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-1953
Country : US
Telephone Number : 513-783-3295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2015
Last Update Date : 08/10/2022

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