Individual
MR. KEITH L BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-R, CSAC-S
Contact information
Practice address
9850 LORI RD., CHESTERFIELD, VA 23832
(804) 387-3816
Mailing address
12053 ALMER LN, CHESTER, VA 23836-3081
(804) 387-3816
(877) 681-7424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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