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Mr. Glenn L Banks JR., MFCT,LISAC
Addiction (Substance Use Disorder) Psychologist in Phoenix, Arizona
NPI 1053580381

Glenn L Banks JR. is an Addiction (Substance Use Disorder) Psychologist based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Glenn L Banks JR. practices in Phoenix, AZ and has the professional credentials of MFCT,LISAC. The NPI Number for Glenn L Banks JR. is 1053580381 and holds a License No. 10525 (Arizona).

The current practice location address for Glenn L Banks JR. is 18444 N 25Th Ave Ste 210, Phoenix, AZ and can be reached out via phone at 666-974-2673 and via fax at 866-939-2673.

Location: 18444 N 25Th Ave Ste 210, Phoenix, AZ, 85023-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053580381
Provider Name
Glenn L Banks JR.
Credential
MFCT,LISAC
Provider Entity Type
Individual
Gender
Male
Address
18444 N 25Th Ave Ste 210, Phoenix, AZ, 85023-1266
Phone Number
666-974-2673
Fax Number
866-939-2673
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
250003 05 AZ
institution
Provider Business Practice Location Address Details
Address
18444 N 25Th Ave Ste 210
City
Phoenix
State
Arizona
Zip
85023-1264
Phone Number
666-974-2673
Fax Number
866-939-2673
person
Provider Business Mailing Address Details
Address
18444 N 25Th Ave Ste 210
City
Phoenix
State
Arizona
Zip
85023-1264
Phone Number
666-974-2673
Fax Number
866-939-2673
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LISAC-10525 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
10525 (Arizona)
Definition
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 behavior.
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