CHASE TODD BANNISTER

DURHAM, NC
NPI1386805315
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C006086)
Enumeration Date2008-06-23
Last Update Date2022-07-21
Business Address
Mr. CHASE TODD BANNISTER MDIV MSW LCSW CEDS
817 BROAD ST
DURHAM, NC 27705-4137
Phone number: 202-670-5125
Mailing Address
Mr. CHASE TODD BANNISTER MDIV MSW LCSW CEDS
2108 STUART DR
DURHAM, NC 27707-2262
Phone number: 202-670-5125