Individual
MS. KIRSTEN ELIZABETH BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 VETERANS MEMORIAL BLVD STE 250-J, CUMMING, GA 30040-2689
(770) 527-1236
Mailing address
110 VETERANS MEMORIAL BLVD STE 250-J, CUMMING, GA 30040-2689
(770) 527-1236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005765
GA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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