Individual
CASSIDY BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 GREEN ST, JAMAICA PLAIN, MA 02130-2667
(617) 524-1120
Mailing address
20B MOUNT VERNON ST, BRIGHTON, MA 02135
(727) 410-6058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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