Individual
BRIANNA RENEE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SOUTHPARK DR STE C, BLACKSBURG, VA 24060-6809
(571) 934-3936
Mailing address
1086 THE LAKE RD, CLINTWOOD, VA 24228-7042
(276) 207-1869
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0704014789
VA
101YP2500X
Professional Counselor
Primary
0704014789
VA
Other
Enumeration date
01/12/2023
Last updated
03/18/2025
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