| Jeffrey D Bishop Ma Lmhc Inc | |
|
1728 Kingsley Ave Suite 7 Orange Park FL 32073-4460 | |
| (904) 228-7148 | |
| Not Available |
| Full Name | Jeffrey D Bishop Ma Lmhc Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1728 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Jeffrey Bishop (PRESIDENT / PSYCHOTHERAPIST) |
| Authorized Official Contact | 9042287148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Bishop Ma Lmhc Inc 1728 Kingsley Ave Suite 7 Orange Park FL 32073-4460 Ph: (904) 228-7148 | Jeffrey D Bishop Ma Lmhc Inc 1728 Kingsley Ave Suite 7 Orange Park FL 32073-4460 Ph: (904) 228-7148 |
| NPI Number | 1568909729 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568909729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH11129 (Florida) | Primary |
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