Individual
MICHELLE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 LAKE ST, SPIRIT LAKE, IA 51360-1600
(712) 320-8112
(712) 336-6887
Mailing address
PO BOX 70, LE MARS, IA 51031-0070
(712) 546-4624
(712) 546-9395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
091068
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
18013
IA
Other
Enumeration date
05/11/2018
Last updated
10/05/2020
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