person
Mr. Mark Cody Banta, LPCU/S,CADC
Addiction (Substance Use Disorder) Counselor in Oklahoma City, Oklahoma
NPI 1013138965

Mark Cody Banta is an Addiction (Substance Use Disorder) Counselor based in Edmond, OK and is specialized in Addiction (Substance Use Disorder). Mark Cody Banta practices in Oklahoma City, OK and has the professional credentials of LPCU/S,CADC. The NPI Number for Mark Cody Banta is 1013138965 and holds a License No. (Oklahoma).

The current practice location address for Mark Cody Banta is 3033 N Walnut Ave, Oklahoma City, OK and can be reached out via phone at 405-230-1145 and via fax at 405-552-2611.

Location: 3033 N Walnut Ave, Oklahoma City, OK, 73034-5788
person
Provider Profile Details
NPI Number
1013138965
Provider Name
Mark Cody Banta
Credential
LPCU/S,CADC
Provider Entity Type
Individual
Gender
Male
Address
3033 N Walnut Ave, Oklahoma City, OK, 73034-5788
Phone Number
405-230-1145
Fax Number
405-552-2611
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3033 N Walnut Ave
City
State
Zip
73105-2832
Phone Number
405-230-1145
Fax Number
405-552-2611
person
Provider Business Mailing Address Details
Address
3033 N Walnut Ave
City
State
Zip
73105-2832
Phone Number
405-230-1145
Fax Number
405-552-2611
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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