Banyan Group
NPI #1992198543 in Beaumont, California
Provider Information
- NPI Number
- 1992198543
- Entity Type
- Organization
- Organization Name
- Banyan Group
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 6, 2015
- Last Updated
- Apr 6, 2015
Practice Location
- Address
- 372 E 7TH ST
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-2261
- Phone
- (951) 845-4073
Authorized Official
- Name
- MRS. DANECE RENEE STAPLETON, LCSW
- Title
- PRESIDENT; DIRECTOR OF COUNSELING
- Phone
- (951) 845-4073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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