Individual
ALPHONSO BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 RANCHETTE RD, MONROE, LA 71203-9706
(318) 732-5318
(318) 732-5318
Mailing address
350 RANCHETTE RD, MONROE, LA 71203-9706
(318) 732-5318
(318) 732-5318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MFT1033
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
MFT1033
LA
101YM0800X
Mental Health Counselor
Primary
MFT1033
LA
101YP2500X
Professional Counselor
MFT1033
LA
101YS0200X
School Counselor
MFT1033
LA
106H00000X
Marriage & Family Therapist
MFT1033
LA
Other
Enumeration date
03/09/2012
Last updated
03/24/2016
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