GLENN BANKS, MFCT, LISAC

Addiction (Substance Use Disorder) Psychologist · PHOENIX, AZ

Individual Active NPI 1053580381

Taxonomy & licensure

Specialty	Code	Primary	License	State
Addiction (Substance Use Disorder) Psychologist	103TA0400X	✓	LISAC-10525	AZ
Addiction (Substance Use Disorder) Counselor	101YA0400X		10525	AZ

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.