Provider Demographics
NPI:1942961925
Name:BANKS, ALLISON BROOKE (SUDP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BROOKE
Last Name:BANKS
Suffix:
Gender:F
Credentials:SUDP
Other - Prefix:
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Mailing Address - Street 1:611 N IRON BRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4932
Mailing Address - Country:US
Mailing Address - Phone:509-444-8888
Mailing Address - Fax:509-444-8888
Practice Address - Street 1:5901 N LIDGERWOOD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5095
Practice Address - Country:US
Practice Address - Phone:509-444-8200
Practice Address - Fax:509-444-8200
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60866608101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)