Individual provider · Type 1 NPI
Roberta G. Bannister, CHT
Religious Nonmedical Practitioner · Crestline, CA
NPI number
1417814245
Active
Practice location
23394 Knapps Cutoff # 4387
Crestline, CA 92325-9427
Mailing address
PO Box 4387
Crestline, CA 92325-4387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor | 101YP1600X | None listed |
| Drama Therapist | 101200000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1417814245
Roberta G. Bannister, CHT's National Provider Identifier is 1417814245, issued on Jan 5, 2026. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Crestline, CA. The record was last updated on Jan 5, 2026.