Individual
MR. KENDRICK M. EBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
637 SAINT FERDINAND ST, BATON ROUGE, LA 70802-6152
(225) 955-9527
Mailing address
637 SAINT FERDINAND ST, BATON ROUGE, LA 70802-6152
(225) 955-9527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6958
LA
104100000X
Social Worker
Primary
6958
LA
171M00000X
Case Manager/Care Coordinator
6958
LA
Other
Enumeration date
08/14/2013
Last updated
11/30/2022
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