Individual provider · Type 1 NPI

Adair Agnes Bannister

Counselor · Roxbury Crossing, MA

NPI number 1407731268 Active

Practice location

53 Parker Hill Ave
Roxbury Crossing, MA 02120-3225

Mailing address

1880 Beacon St Apt 2
Brookline, MA 02445-1937

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1407731268

Adair Agnes Bannister's National Provider Identifier is 1407731268, issued on Aug 9, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Roxbury Crossing, MA. The record was last updated on Aug 9, 2025.