Bannet Agesa, BA
Counselor, Professional in Berwyn, PA. Individual provider (NPI-1).
NPI number1164091641
StatusActive
Last updated in NPPESNov 11, 2025
Details
- NPI
- 1164091641
- Entity type
- Individual (NPI-1)
- Name
- Bannet Agesa
- Credential
- BA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2021
- Certification date
- Nov 11, 2025
- Last updated
- Nov 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC018904 | PA | Yes |
Practice location
139 Leopard RdBerwyn, PA 19312-1809
Phone 215-839-8769
Mailing address
1041 W Bridge St # B5Phoenixville, PA 19460-4342
Phone 104-159-3016 · Fax 610-415-1656
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