Individual provider · Type 1 NPI

Glenn L. Banks Jr., LIAC, MFCT, CCTP-II

Addiction (Substance Use Disorder) Psychologist · Gilbert, AZ

NPI number 1053580381 Active

Practice location

3591 S Mercy Rd Ste 204
Gilbert, AZ 85297-2240

Call (623) 241-8787 Map

Mailing address

1455 N Gaylord Cir
Mesa, AZ 85213-4120

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist Primary 103TA0400XLISAC-10525 (AZ)
Addiction (Substance Use Disorder) Counselor 101YA0400X10525 (AZ)

Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…

23 other providers at this address

About NPI 1053580381

Glenn L. Banks Jr., LIAC, MFCT, CCTP-II's National Provider Identifier is 1053580381, issued on Feb 20, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Gilbert, AZ. The record was last updated on Oct 5, 2026.