Individual
AUSTEN BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
122 LEE ST, CARROLLTON, GA 30117-3315
(678) 664-3434
Mailing address
439 LONGVIEW ST, CARROLLTON, GA 30117-3709
(770) 639-4520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009405
GA
Other
Enumeration date
10/26/2016
Last updated
01/12/2017
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