Individual
DAVID BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Mailing address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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