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Individual

LES A BINNIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP, LPCMH

Contact information

Practice address
685 CARLSBAD CT, LUSBY, MD 20657-4822
(818) 438-8548
(410) 630-3690
Mailing address
685 CARLSBAD CT, LUSBY, MD 20657-4822
(818) 438-8548
(410) 630-3690

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC0000419
DE
101YM0800X
Mental Health Counselor
PMH1280
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R241003
MD

Other

Enumeration date
01/31/2008
Last updated
10/12/2022
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