Individual provider · Type 1 NPI

Shelby R. Banken, MA, LADC

Addiction (Substance Use Disorder) Counselor · Maple Grove, MN

NPI number 1295444685 Active

Practice location

13603 80th Cir N
Maple Grove, MN 55369-8961

Call (763) 274-3120 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305153 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295444685

Shelby R. Banken, MA, LADC's National Provider Identifier is 1295444685, issued on Nov 15, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maple Grove, MN. The record was last updated on Nov 15, 2022.