Individual
ALEXANDRIA DIANE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, ATR
Contact information
Practice address
3224 S EMERSON AVE, BEECH GROVE, IN 46107-3339
(812) 777-8002
Mailing address
3224 S EMERSON AVE, BEECH GROVE, IN 46107-3339
(812) 777-8002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39004395A
IN
101YM0800X
Mental Health Counselor
39004395A
IN
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
04/06/2023
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