Individual
DR. KRYSTAL L. BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., LCPC
Contact information
Practice address
1075 S CHECK ST, WASILLA, AK 99654-8067
(855) 771-7965
Mailing address
1075 S CHECK ST STE 208, WASILLA, AK 99654-8067
(855) 771-7965
(425) 968-6221
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
10953
FL
Other
Enumeration date
11/10/2017
Last updated
10/10/2019
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