Individual
AUSTIN R BANKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SPORTS MANAGEMENT
Contact information
Practice address
14 GLADIOLA CT, MARRERO, LA 70072-2429
(985) 956-7650
(985) 956-7561
Mailing address
14 GLADIOLA CT, MARRERO, LA 70072-2429
(504) 799-9207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255681128
—
LA
Enumeration date
05/02/2018
Last updated
05/02/2018
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