Individual
AMANDA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1291 GRIFFIN DR, LAKE HAVASU CITY, AZ 86404-2157
(714) 365-7816
Mailing address
1291 GRIFFIN DR, LAKE HAVASU CITY, AZ 86404-2157
(714) 365-7816
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
144420
CA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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