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1548302581
CHARLES ALAN BANNER
JOHNSON CITY, TN
NPI
1548302581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Mr. CHARLES ALAN BANNER M.A.
3950 BRISTOL HWY
JOHNSON CITY, TN 37601-1378
Phone number: 423-283-6500
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Mailing Address
Mr. CHARLES ALAN BANNER M.A.
2311 ABBOTT DR. #2
JOHNSON CITY, TN 37601-9012
Phone number: 423-737-0653
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