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LAEARTHA ISHSTARA BANKS LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1760809677

Individual Registrant:
 LAEARTHA ISHSTARA BANKS LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
500 S ROSSER ST  FORREST CITY, AR 72335-3742 US
Tel: 501-993-6044  Fax: --

Contact information for business:
7524 GLENN HILLS DRIVE  SHERWOOD, AR 72120-7870 US
Tel: 501-993-6044  Fax: --

Registration Information:
NPI: 1760809677
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
ARP1701216

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
138580726AR05




HEALTH CARE JOBS AR - Page 1



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