Individual
MRS. VIVIAN MARY BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCADC, CSS
Contact information
Practice address
417 KNOX ST STE 3&4, BARBOURVILLE, KY 40906-1353
(606) 545-9752
(606) 545-0244
Mailing address
417 KNOX ST STE 3&4, BARBOURVILLE, KY 40906-1353
(606) 545-9752
(606) 545-0244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
12/14/2020
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