Individual
MRS. LYNSHANNON D BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2045 E WEST MAPLE RD STE D-407, COMMERCE TOWNSHIP, MI 48390-3801
(248) 858-7766
Mailing address
2045 E WEST MAPLE RD STE D-407, COMMERCE TOWNSHIP, MI 48390-3801
(248) 858-7766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018067
MI
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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