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Jessie Dennis Bannister, M.S.

Marriage & Family Therapist in San Rafael, CA. Individual provider (NPI-1).

NPI number1205257516
StatusActive
Last updated in NPPESJan 5, 2014

Details

NPI
1205257516
Entity type
Individual (NPI-1)
Name
Jessie Dennis Bannister
Credential
M.S.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 5, 2014
Last updated
Jan 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist–CAYes

Other names

  • Jessie Amanda Dennis (Former Name)

Practice location

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Phone 415-507-4262

Mailing address

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Phone 415-507-4262

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