Individual
MRS. AMBER MALESCHA BANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4757 MAIN AVE, GROVES, TX 77619-4740
(409) 963-2331
Mailing address
4757 MAIN AVE, GROVES, TX 77619-4740
(409) 963-2331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18834
TX
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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