Individual provider · Type 1 NPI

Bannet Agesa, BA

Professional Counselor · Berwyn, PA

NPI number 1164091641 Active

Practice location

139 Leopard Rd
Berwyn, PA 19312-1809

Call (215) 839-8769 Map

Mailing address

1041 W Bridge St # B5
Phoenixville, PA 19460-4342

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC018904 (PA)

Professional Counselor: Definition to come...

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About NPI 1164091641

Bannet Agesa, BA's National Provider Identifier is 1164091641, issued on Jun 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Berwyn, PA. The record was last updated on Nov 11, 2025.