Individual
KIMBERLY CHRISTINA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
3002 HUNGARY SPRING RD STE 204, HENRICO, VA 23228-2425
(804) 322-7333
Mailing address
3002 HUNGARY SPRING RD STE 204, HENRICO, VA 23228-2425
(804) 322-7333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3501
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3501
—
VA
Enumeration date
11/25/2019
Last updated
11/25/2019
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