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Individual
DUSTIN BANKS
Active
Individual
DUSTIN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP-R, CADC-R
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-5180
OR
101YM0800X
Mental Health Counselor
Primary
25-QMHP-R-3592
OR
175T00000X
Peer Specialist
—
OR
Other
Enumeration date
12/10/2025
Last updated
12/18/2025
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