NPI 1417814245

Roberta G Bannister, CHT

Practitioner Religious Nonmedical Practitioner Crestline, CA

Practice location

Address: 23394 Knapps Cutoff # 4387, Crestline, CA 92325-9427
Phone: (840) 210-1763
Mailing address: PO Box 4387, Crestline, CA 92325-4387

Registered specialties (5)

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

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Pastoral Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP1600X

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Drama Therapist

Behavioral Health & Social Service Providers Taxonomy 101200000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1417814245
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2026
Record last updated: 5 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.