Bannet Agesa, BA
NPI #1164091641 in Berwyn, Pennsylvania
Provider Information
- NPI Number
- 1164091641
- Entity Type
- Individual
- Name
- Bannet Agesa, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- BA
- Enumeration Date
- Jun 21, 2021
- Last Updated
- Nov 11, 2025
Practice Location
- Address
- 139 LEOPARD RD
- City
- Berwyn
- State
- Pennsylvania
- ZIP Code
- 19312-1809
- Phone
- (215) 839-8769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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