Individual
BRITTANY BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5234 W ST RT 63, LEBANON, OH 45036-8202
(513) 751-7747
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1395
(513) 751-7747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183481
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391255
—
OH
Enumeration date
01/23/2020
Last updated
02/08/2023
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