Individual
NICOLE MALISE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
314 WYNDHURST AVE, BALTIMORE, MD 21210-2416
(443) 914-3425
Mailing address
314 WYNDHURST AVE, BALTIMORE, MD 21210-2416
(443) 914-3425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC8328
MD
Other
Enumeration date
12/13/2017
Last updated
05/04/2021
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