| Banner Consulting | |
|
2525 Raeford Rd Suite B Fayetteville NC 28305-5091 | |
| (910) 309-1574 | |
| Not Available |
| Full Name | Banner Consulting |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2525 Raeford Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Jerry Dean Powell (DIRECTOR) |
| Authorized Official Contact | 9103091574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Consulting 2525 Raeford Rd Suite B Fayetteville NC 28305-5091 Ph: (910) 309-1574 | Banner Consulting 2525 Raeford Rd Suite B Fayetteville NC 28305-5091 Ph: (910) 309-1574 |
| NPI Number | 1194124412 |
|---|---|
| Provider Enumeration Date | 08/22/2014 |
| Last Update Date | 08/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194124412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3565 (North Carolina) | Primary |
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