Individual
LINDA ELAINE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5852 DIANNE ST, SHREVEPORT, LA 71119-5310
(469) 315-1949
Mailing address
6009 FINANCIAL PLZ, SHREVEPORT, LA 71129-2615
(318) 670-8858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9523
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160699
—
LA
Enumeration date
08/15/2017
Last updated
05/01/2023
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