| Bynum Licensed Clinical Social Work Inc. | |
|
110 S Montclair St Ste 106 Bakersfield CA 93309-3118 | |
| (661) 473-0090 | |
| (661) 735-0109 |
| Full Name | Bynum Licensed Clinical Social Work Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 S Montclair St Ste 106, Bakersfield, California |
| Authorized Official Name and Position | Krissy Bynum (OWENER/THERAPIST) |
| Authorized Official Contact | 6614730090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bynum Licensed Clinical Social Work Inc. 110 S Montclair St Ste 106 Bakersfield CA 93309-3118 Ph: (661) 473-0090 | Bynum Licensed Clinical Social Work Inc. 110 S Montclair St Ste 106 Bakersfield CA 93309-3118 Ph: (661) 473-0090 |
| NPI Number | 1124850987 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 09/08/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124850987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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