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Individual
MR. GREGORY CHARLES BANKS
Active
Individual
MR. GREGORY CHARLES BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001450
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004263969
HUSKY
CT
01
—
205483988
TRICARE
CT
01
—
240001450CT01
ANTHEM BC BS
CT
Enumeration date
09/28/2006
Last updated
03/17/2023
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