Individual
JAIME BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LPC, LPCC
Contact information
Practice address
17747 CHILLICOTHE RD, SUITE 105, CHAGRIN FALLS, OH 44023-4739
(440) 543-8880
(440) 543-5911
Mailing address
17747 CHILLICOTHE RD, SUITE 105, CHAGRIN FALLS, OH 44023-4739
(440) 543-8880
(440) 543-5911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013546
MI
101YP2500X
Professional Counselor
Primary
E.1600033
OH
104100000X
Social Worker
S.0014934
OH
Other
Enumeration date
12/11/2006
Last updated
09/03/2016
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