Jeff R Binger, CADC #00194

Individual provider Active NPI Counselor · Elko, NV

NPI 1164717153 · NPPES record last updated Jun 17, 2011

Key facts

NPI
1164717153
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
00194 (NV)
Practice address
100 Youth Center Road
Elko, NV 89803
Phone
(775) 738-7182
Fax
(775) 738-8812
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00194NVMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00194 NV Yes

Addresses

Primary practice location

100 Youth Center Road
Elko, NV 89803

Mailing address

468 Oakmont Dr
Spring Creek, NV 89815-7107
Phone (775) 934-8335

Other providers in Elko, NV

All providers in Elko, NV · Counselor in Nevada

Sources for this page

Verify at the official NPI Registry.