Individual
KNIKIAH A. BANKS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
10025 W MARKHAM ST STE 210, LITTLE ROCK, AR 72205
(501) 663-5473
(501) 801-1816
Mailing address
10025 W MARKHAM ST STE 210, LITTLE ROCK, AR 72205-2178
(501) 663-5473
(501) 801-1816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1910142
AR
Other
Enumeration date
03/12/2015
Last updated
11/21/2019
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