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Organization

BYNUM LICENSED CLINICAL SOCIAL WORK INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISSY BYNUM LCSW (OWENER/THERAPIST)
(661) 473-0090
Entity
Organization

Contact information

Practice address
110 S MONTCLAIR ST STE 106, BAKERSFIELD, CA 93309-3118
(661) 473-0090
(661) 735-0109
Mailing address
110 S MONTCLAIR ST STE 106, BAKERSFIELD, CA 93309-3118
(661) 473-0090
(661) 735-0109

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/19/2024
Last updated
09/08/2024
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