Individual provider · Type 1 NPI

Shahagony Banks, CIT

Addiction (Substance Use Disorder) Counselor · Douglasville, GA

NPI number 1376168302 Active

Practice location

2109 Fairburn Rd Ste A
Douglasville, GA 30135-1037

Mailing address

708 Sable Chase Blvd
Mcdonough, GA 30253-3463

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1376168302

Shahagony Banks, CIT's National Provider Identifier is 1376168302, issued on Jun 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Douglasville, GA. The record was last updated on Jun 16, 2020.