Individual provider · Type 1 NPI

Dezella Marie Banks

Addiction (Substance Use Disorder) Counselor · Tarzana, CA

NPI number 1609057520 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Call (818) 996-1051 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1503650423 (CA)

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

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About NPI 1609057520

Dezella Marie Banks's National Provider Identifier is 1609057520, issued on Nov 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tarzana, CA. The record was last updated on Jan 2, 2024.