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NICTE-HA BANKS

Mental Health Counselor

NPI: 1700667441Individual

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

LMSW-43874(ID)

Contact & Hours

Address
210 W BURNSIDE AVE
CHUBBUCK, ID 83202

Quick Facts

NPI
1700667441
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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