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Leslie Wayne Bingham
Peer Specialist in Vinita, Oklahoma
NPI 1982328472

Leslie Wayne Bingham is a Peer Specialist based in Vinita, OK. Leslie Wayne Bingham practices in Vinita, OK. The NPI Number for Leslie Wayne Bingham is 1982328472 and holds a License No. (Oklahoma).

The current practice location address for Leslie Wayne Bingham is 405 E Excelsior Ave, Vinita, OK and can be reached out via phone at 844-458-2100.

Location: 405 E Excelsior Ave, Vinita, OK, 74301-4226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982328472
Provider Name
Leslie Wayne Bingham
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 E Excelsior Ave, Vinita, OK, 74301-4226
Phone Number
844-458-2100
Fax Number
Provider Enumeration Date
09/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 E Excelsior Ave
City
Vinita
State
Oklahoma
Zip
74301-4226
Phone Number
844-458-2100
Fax Number
person
Provider Business Mailing Address Details
Address
405 E Excelsior Ave
City
Vinita
State
Oklahoma
Zip
74301-4226
Phone Number
844-458-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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