Jan Banks, CMHT Valid NPI
Individual provider · Mental Health Counselor · Vicksburg, MS
- NPI
- 1407862782
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 0780 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Practice location
3444 Wisconsin Ave
Vicksburg, MS 39180-5331
(601) 638-0031