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Individual
KEITH MERWIN BANKER JR.
Active
Individual
KEITH MERWIN BANKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
COUNSELOR
CA
Enumeration date
06/10/2019
Last updated
11/19/2020
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