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Mr. RUSSELL WAYNE BINGHAM -- CADC

Individual Provider (NPI-1) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1386774016
Provider Type
Individual Provider (NPI-1)
Credentials
CADC
Status
Active

Contact & Location

Address
4009 EUFALA ST, MUSKOGEE, OK, 74403
Phone
(918) 681-0484

Specialties & Taxonomies

Counselor, Addiction (Substance Use Disorder) Primary License: OK #52

All Addresses

MAILING

1203 E BROADWAY

MUSKOGEE, OK, 74403

(918) 682-2841

LOCATION

4009 EUFALA ST

MUSKOGEE, OK, 74403

(918) 681-0484