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Individual

AMANDA BANKSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
730 N EASTERN AVE, SUITE 110, LAS VEGAS, NV 89101-2883
(702) 772-4864
Mailing address
7305 MERCADO CT, LAS VEGAS, NV 89128-0583
(702) 285-5052

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/03/2013
Last updated
01/03/2013
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