Individual provider · NPI-1

Rayne Jane Banneck, M.S.

Marriage & Family Therapist · Oakland, CA

NPI number1174989230

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1174989230
Entity type: Individual (NPI-1)
Name: Ms. Rayne Jane Banneck
Credential: M.S.
Sex: Female
Sole proprietor: No
Enumeration date: Jan 5, 2016
Last updated: Jul 21, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
106H00000X	Marriage & Family Therapist	–	–	Yes
247200000X	Technician, Other	–	–
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Other names

Madeline J Banneck (Former Name)

Practice location

516 Oakland Ave
Oakland, CA 94611-5429

Phone 510-838-0249

Mailing address

516 Oakland Ave
Oakland, CA 94611-5429

Phone 510-838-0249

Other practice locations

2712 Telegraph Ave
Berkeley, CA 94705

Phone 510-548-8283

3260 Blume Dr Ste 450
Richmond, CA 94806-5115

Phone 510-262-6551

5900 Hollis St Ste X
Emeryville, CA 94608-2008

Phone 510-500-5124

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