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JEFFERY BANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICDC

Contact information

Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
1121 SPRINGWATER CT, CINCINNATI, OH 45215-1164
(513) 578-1699

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
121032
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC162151
OH

Other

Enumeration date
04/01/2014
Last updated
01/22/2025
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