Colleen Ada Bannister
Individual provider Active NPI School Counselor · Athol, MA
NPI 1114304672 · NPPES record last updated May 4, 2015
Key facts
- NPI
- 1114304672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Counselor 101YS0200X
- Practice address
- 491 Main St
Athol, MA 01331-1846 - Phone
- (978) 249-9490
- NPI assigned
- May 4, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | Yes |
Addresses
Primary practice location
491 Main St
Athol, MA 01331-1846
Mailing address
491 Main St
Athol, MA 01331-1846
Phone (978) 249-9490
Other providers in Athol, MA
- Athol Memorial Hospital Incorporated
- Athol Pharmacy, LLC
- Athol Pharmacy, LLC
- Athol Royalston Regional School District
- Minsub Ban
- Katrina Brooke Barnes
- Susan Jane Barnes
- Ryan Barry
- Danielle Rose Bassett
- Baxter Chiropractor, P.C.
All providers in Athol, MA · School Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.