MR. GLENN L BANKS MFCT LISAC NPI 1053580381

NPI Information

MR. Glenn L Banks, MFCT, LISAC is an addiction (substance use disorder) psychologist in Phoenix, AZ. The provider is 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. MR. Glenn L Banks, MFCT, LISAC NPI is 1053580381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18444 N 25TH AVE STE 210
PHOENIX, AZ
ZIP 85023-264
Phone: (666) 974-2673
Fax: (866) 939-2673

The enumeration date for this NPI number is 2/20/2008 and was last updated on 9/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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