Individual provider · Type 1 NPI
Erica Banicky, BA
Addiction (Substance Use Disorder) Counselor · Wilkes Barre, PA
NPI number
1508181652
Active
Practice location
Rear 307 Laird St, Choices Recovery Program
Wilkes Barre, PA 18702
Fax (570) 408-9324
Mailing address
Rear 307 Laird Street, Choices Program Of Wyoming Valley
Wilkes Barre, PA 18702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1508181652
Erica Banicky, BA's National Provider Identifier is 1508181652, issued on Apr 1, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilkes Barre, PA. The record was last updated on Apr 1, 2010.