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Individual

DAVID JONATHAN BANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
517 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99503-2503
(907) 802-8698
Mailing address
5005 KOBUK AVE, ANCHORAGE, AK 99508-2403
(907) 802-8698

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
119540
AK
106H00000X
Marriage & Family Therapist
25
AK
106H00000X
Marriage & Family Therapist

Other

Enumeration date
02/16/2017
Last updated
03/05/2022
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