Individual
DANIEL BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, RASAC II
Contact information
Practice address
2919 E 4TH ST, JOPLIN, MO 64801-1625
(417) 782-7966
(417) 624-4558
Mailing address
2919 E 4TH ST, JOPLIN, MO 64801-1625
(417) 782-7966
(417) 624-4558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2017012077
MO
1041C0700X
Clinical Social Worker
Primary
2017012077
MO
Other
Enumeration date
04/27/2016
Last updated
10/07/2025
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