Individual
DR. JOHNETTA PATRICE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LINE AVENUE, SHREVEPORT, LA 71101
(318) 208-8908
(318) 208-8935
Mailing address
147 DOGWOOD SOUTH LN, HAUGHTON, LA 71037-7522
(318) 267-6677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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