JARED BANKA MC61577538
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1467281741- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MC61577538
- Status
- Active
Contact & Location
- Address
- 16150 NE 85TH ST STE 222B, REDMOND, WA, 980523546
- Phone
- (831) 219-8853
Specialties & Taxonomies
Counselor, Mental Health
Primary License: WA #MC61577538