Organization
BANYAN GROUP
Active
Other names
The Banyan Group, Inc., Counseling, Coaching and Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANECE RENEE STAPLETON LCSW (PRESIDENT; DIRECTOR OF COUNSELING)
(951) 845-4073
Entity
Organization
Contact information
Practice address
372 E 7TH ST, BEAUMONT, CA 92223-2261
(951) 845-4073
(201) 353-8530
Mailing address
372 E 7TH ST, BEAUMONT, CA 92223-2261
(951) 845-4073
(201) 353-8530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
64658
CA
Other
Enumeration date
03/06/2015
Last updated
04/06/2015
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