Individual
JARED BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
190 OVERTHRUST RD, EVANSTON, WY 82930-2910
(307) 789-4224
(307) 789-4225
Mailing address
PO BOX 2910, EVANSTON, WY 82931-2910
(307) 789-4224
(307) 789-4225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCPC 3721
ID
101YP2500X
Professional Counselor
Primary
LPC-1745
WY
Other
Enumeration date
07/01/2013
Last updated
11/08/2018
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