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Individual

DAVID G BANACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LGPC

Contact information

Practice address
815 RITCHIE HWY STE 205, SEVERNA PARK, MD 21146-4164
(443) 477-0918
Mailing address
814 DORCHESTER RD, BALTIMORE, MD 21229-4703
(443) 477-0918

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15830
MD

Other

Enumeration date
01/16/2025
Last updated
01/24/2025
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