Individual provider · Type 1 NPI

Dana Bannerman

Mental Health Counselor · New York, NY

NPI number 1124524442 Active

Practice location

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027-4990

Mailing address

590 Avenue Of The Americas
New York, NY 10011-2022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124524442

Dana Bannerman's National Provider Identifier is 1124524442, issued on Apr 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Apr 4, 2018.