Banta, Jennifer A

Banta, Jennifer A is an individual health care provider with primary practice located at 815 Buena Vista Ave W Walden House-Hafc Dual Recovery Program, San Francisco CA 94117-4108. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Banta, Jennifer A can be contacted via phone (415) 558-4206.

Contact Information

Primary practice address
815 Buena Vista Ave W Walden House-Hafc Dual Recovery Program San Francisco CA 94117-4108
Phone: (415) 558-4206
Fax: (415) 558-4235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY20473 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20473 California

Profile Details

NPI number 1629337944
LBN Legal business name Banta, Jennifer A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2012
Last updated May 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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