Provider Demographics
NPI:1568801439
Name:BANKS, NOLDEN CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:NOLDEN
Middle Name:CHRISTOPHER
Last Name:BANKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16129 SILVERADO DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1455
Mailing Address - Country:US
Mailing Address - Phone:405-881-0098
Mailing Address - Fax:
Practice Address - Street 1:16129 SILVERADO DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1455
Practice Address - Country:US
Practice Address - Phone:405-881-0098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor