MR. Mark Cody Banta, LPC U/S, CADC is an addiction (substance use disorder) counselor in Oklahoma City, OK. MR. Mark Cody Banta, LPC U/S, CADC NPI is 1013138965. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3033 N WALNUT AVE
OKLAHOMA CITY, OK
ZIP 73105-832
Phone: (405) 230-1145
Fax: (405) 552-2611
The NPI 1013138965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 5/1/2007 and was last updated on 9/1/2009.