Individual
KATRINA JO BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
1023 N 205TH ST, ELKHORN, NE 68022-4642
(402) 660-3225
Mailing address
17845 JOSEPHINE ST, OMAHA, NE 68136-3104
(402) 660-3225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1954
NE
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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