SearchMinnesota101YA0400X

Shelby Banken, MA, LADC

NPI 1295444685 · on the registry since 2022

Practice

Address
13603 80th Cir N
Maple Grove, MN 55369
Phone
(763) 274-3120
Clinicians at this address
66

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota