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Search › California › 103TC0700X

Jennifer Banta, PHD

NPI 1629337944 · on the registry since 2012

Practice

Address
815 Buena Vista Ave W
Walden House-Hafc Dual Recovery Program
San Francisco, CA 94117
Phone
(415) 558-4206
Fax
(415) 558-4235
Organisation at this address
Healthright 360
Inferred from a shared address, not stated in the registry.
Clinicians at this address
111

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103T00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California