Individual
ANTHONY DEWAYNE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22639 EUCLID AVE, EUCLID, OH 44117-1622
(216) 404-1900
(216) 404-1901
Mailing address
22639 EUCLID AVE, EUCLID, OH 44117-1622
(216) 404-1900
(216) 404-1901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.185314
OH
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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