Individual
BOB BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APPS COUNSELOR
Contact information
Practice address
810 CEDAR ST, GIRARD, KS 66743-2056
(620) 724-8806
Mailing address
911 E CENTENNIAL DR, PITTSBURG, KS 66762-6601
(620) 231-5130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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