Individual
ERNETRIA L BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CARTER ST, VIDALIA, LA 71373-3115
(318) 336-4797
(318) 336-4799
Mailing address
1810 CARTER ST, VIDALIA, LA 71373-3115
(318) 336-4797
(318) 336-4799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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