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Individual

LAUREN A BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
609 NE BAKER ST STE 260, MCMINNVILLE, OR 97128-4950
(971) 213-5025
(971) 228-5431
Mailing address
609 NE BAKER ST STE 260, MCMINNVILLE, OR 97128-4950
(971) 213-5025
(971) 228-5431

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
C8889
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500799415
OR
Enumeration date
10/04/2021
Last updated
12/03/2024
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