Individual
PATILLE BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12200 LOMAS BLVD NE, ALBUQUERQUE, NM 87112-5804
(505) 559-2200
(505) 848-9468
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
(505) 559-2200
(505) 848-9468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
X-10280
NM
1041S0200X
School Social Worker
X-10280
NM
Other
Enumeration date
09/18/2017
Last updated
11/29/2021
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