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Individual
MR. JOHNATHAN JAY MARCHBANKS
Active
Individual
MR. JOHNATHAN JAY MARCHBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MO
101YP1600X
Pastoral Counselor
—
—
103K00000X
Behavior Analyst
—
IL
104100000X
Social Worker
—
IL
1041C0700X
Clinical Social Worker
Primary
—
MO
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
IL
172V00000X
Community Health Worker
—
MO
374700000X
Technician
—
—
Other
Enumeration date
05/11/2020
Last updated
04/24/2023
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