Individual
CHELSEA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMFT, LCAS-A
Contact information
Practice address
3208 SUNSET AVE STE B, ROCKY MOUNT, NC 27804-3590
(252) 212-5524
(252) 212-5844
Mailing address
1627 MARVELLE AVE, ROCKY MOUNT, NC 27803-2328
(610) 360-6802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25105
NC
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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