Individual provider · Type 1 NPI
Russell Wayne Bingham, CADC
Addiction (Substance Use Disorder) Counselor · Muskogee, OK
NPI number
1386774016
Active
Practice location
4009 Eufala St
Muskogee, OK 74403
Mailing address
1203 E Broadway
Muskogee, OK 74403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 52 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386774016
Russell Wayne Bingham, CADC's National Provider Identifier is 1386774016, issued on Mar 6, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Muskogee, OK. The record was last updated on Jul 8, 2007.