Individual
TAMARA ARWEN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, EDS, LPC, NCC
Contact information
Practice address
106 LINCOLN ST, FAYETTEVILLE, WV 25840-1528
(304) 574-3305
Mailing address
106 LINCOLN ST, FAYETTEVILLE, WV 25840-1528
(304) 574-3305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1642
WV
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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