Individual
ISAIAH D BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1445 CITY AVE, WYNNEWOOD, PA 19096-3831
(267) 474-9671
Mailing address
1445 CITY AVE FL 2, WYNNEWOOD, PA 19096-3831
(215) 519-2531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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