Individual
KIZZIE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1751 OAK PLAINS RD, ASHLAND CITY, TN 37015-9113
(931) 431-8155
Mailing address
PO BOX 1336, OAK GROVE, KY 42262-1336
(931) 431-8155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6481
TN
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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