Individual
MARTHA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 LONG POINT RD, MOUNT PLEASANT, SC 29464-8226
(843) 901-4459
Mailing address
713 LONG POINT RD, MOUNT PLEASANT, SC 29464-8226
(843) 901-4459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8580
SC
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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