Individual
BRIANA LYN BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHA
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
(360) 419-3500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC 60642352
WA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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