Mrs. SHELBY R BANKEN MA, LADC
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1295444685- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MA, LADC
- Status
- Active
Contact & Location
- Address
- 13603 80TH CIR N, MAPLE GROVE, MN, 553698961
- Phone
- (763) 274-3120
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: MN #305153