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Individual

MRS. ADRIAN N BINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LAC

Contact information

Practice address
1117 SANDINO DR, JONESBORO, AR 72401-8763
(501) 442-9679
Mailing address
1117 SANDINO DR, JONESBORO, AR 72401-8763
(501) 442-9679

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1602012
AR
163WC0400X
Case Management Registered Nurse
R84437
AR

Other

Enumeration date
10/07/2014
Last updated
03/07/2016
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