Individual
MS. HEATHER LEE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(425) 408-7868
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(425) 408-7868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60275845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP 60275845
CDP
WA
Enumeration date
06/17/2013
Last updated
06/17/2013
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