DESIREE BANKS
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1831839117- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1418 TIGER DR, THIBODAUX, LA, 703014337
- Phone
- (985) 449-4055
- Fax
- (985) 449-4178
Specialties & Taxonomies
Case Manager/Care Coordinator
Counselor, Mental Health
Primary License: LA #PLC9030