Individual
LINDA JO BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AADC, LADAC, LMSW,
Contact information
Practice address
200 N 3RD ST, DARDANELLE, AR 72834-3802
(479) 229-4677
(479) 229-6155
Mailing address
115 W H ST, RUSSELLVILLE, AR 72801-3426
(479) 970-6454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
459L
AR
104100000X
Social Worker
Primary
12637-C
AR
Other
Enumeration date
10/24/2022
Last updated
08/14/2025
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