Individual
BARI J BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 STARK RD, CORINTH, NY 12822-2300
(518) 654-2398
(518) 654-7361
Mailing address
96 STARK ROAD, CORINTH, NY 12822
(518) 654-2398
(518) 654-7361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000383
NY
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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