Individual
PAMELA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 N MARYLAND AVE APT 307, MILWAUKEE, WI 53211-3712
(414) 888-0828
Mailing address
2612 N MARYLAND AVE APT 307, MILWAUKEE, WI 53211-3712
(414) 888-0828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16191-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17685-30
WI
101YM0800X
Mental Health Counselor
3496-226
WI
101YM0800X
Mental Health Counselor
8801-125
WI
101YP2500X
Professional Counselor
Primary
8801-125
WI
Other
Enumeration date
07/18/2016
Last updated
12/30/2024
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