NPI 1053751347

Jared Bingham, LCPC

Practitioner Professional Counselor Evanston, WY

Practice location

Address: 190 Overthrust Rd, Evanston, WY 82930-2910
Phone: (307) 789-4224
Fax: (307) 789-4225
Mailing address: PO Box 2910, Evanston, WY 82931-2910

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC-1745 (WY)

Other Counselor providers in Wyoming →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence LCPC 3721 (ID)

Registry record

NPI: 1053751347
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2013
Record last updated: 8 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.