Individual
ALLISON BANKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
115 E HOWRY AVE, DELAND, FL 32724-5516
(386) 307-8782
Mailing address
486 LAKE GEORGE RD, SEVILLE, FL 32190-7906
(386) 307-8782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17232
FL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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