Individual
JON D BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2215 LANGHORNE RD, LYNCHBURG, VA 24501-1121
(434) 948-4831
Mailing address
618 COURT ST, LYNCHBURG, VA 24504-1312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012988
VA
Other
Enumeration date
11/07/2006
Last updated
07/02/2021
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