Dana Bannon
Counselor, Professional in Moorestown, NJ. Individual provider (NPI-1).
NPI number1780165746
StatusActive
Last updated in NPPESSep 10, 2018
Details
- NPI
- 1780165746
- Entity type
- Individual (NPI-1)
- Name
- Dana Bannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2018
- Last updated
- Sep 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
720 E Main StMoorestown, NJ 08057-3058
Phone 732-659-0489
Mailing address
235 Wyndham PlRobbinsville, NJ 08691-3140
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