Individual provider · Type 1 NPI
Tequila Olivia Banks, LPC
Professional Counselor · Norcross, GA
NPI number
1013517465
Active
Practice location
8303 Dunleaf Arc Way NW
Norcross, GA 30093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC0011830 (GA) |
Professional Counselor: Definition to come...
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About NPI 1013517465
Tequila Olivia Banks, LPC's National Provider Identifier is 1013517465, issued on Oct 27, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Norcross, GA. The record was last updated on Nov 27, 2023.