Roberta G Bannister, CHT

NPI #1417814245 in Crestline, California

Provider Information

NPI Number: 1417814245
Entity Type: Individual
Name: Roberta G Bannister, CHT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Religious Nonmedical Practitioner
Credential: CHT
Enumeration Date: Jan 5, 2026
Last Updated: Jan 5, 2026

Practice Location

Address: 23394 KNAPPS CUTOFF # 4387
City: Crestline
State: California
ZIP Code: 92325-9427
Phone: (840) 210-1763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X
Drama Therapist	101200000X
Private Vehicle	347C00000X
Student in an Organized Health Care Education/Training Program	390200000X
Religious Nonmedical Practitioner	374K00000X	Primary

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