Jamie Rose Bankers

NPI #1992263784 in Mora, Minnesota

Provider Information

NPI Number: 1992263784
Entity Type: Individual
Name: Jamie Rose Bankers
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 11, 2019
Last Updated: May 13, 2020

Practice Location

Address: 2031 ROWLAND RD
City: Mora
State: Minnesota
ZIP Code: 55051-7119
Phone: (320) 364-1314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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