Individual
AMANDA CHRISTINE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021035028
MO
Other
Enumeration date
09/09/2021
Last updated
08/22/2023
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