Individual provider · Type 1 NPI

Jan Banks, CMHT

Mental Health Counselor · Vicksburg, MS

NPI number 1407862782 Active

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Fax (601) 638-4950

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0780 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1407862782

Jan Banks, CMHT's National Provider Identifier is 1407862782, issued on Jul 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Jul 8, 2007.