Individual
AUDREY E BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 FAIRMONT DR, SAN LEANDRO, CA 94578-1006
(510) 667-3000
(510) 667-3005
Mailing address
43 PASEO GRANDE, SAN LORENZO, CA 94580-1753
(510) 481-4283
(510) 667-3005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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