Individual
MR. ANDRAE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
3622 COLCHESTER ST, DURHAM, NC 27707-4563
(919) 213-1467
Mailing address
3622 COLCHESTER ST, DURHAM, NC 27707-4563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P005950
NC
104100000X
Social Worker
P005950
NC
1041C0700X
Clinical Social Worker
Primary
C007846
NC
1041C0700X
Clinical Social Worker
P005950
NC
Other
Enumeration date
09/01/2010
Last updated
03/08/2016
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