Individual
LOUIS BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 WHITE STREET, MCCOMB, MS 39648
(601) 249-4218
(601) 249-4234
Mailing address
1701 WHITE STREET, PO BOX 768, MCCOMB, MS 39648
(601) 249-4218
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
03/02/2020
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