Individual
MADISON BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.MFT, LMFT
Contact information
Practice address
7526 103RD ST, LUBBOCK, TX 79424-6699
(325) 998-6239
Mailing address
7526 103RD ST, LUBBOCK, TX 79424-6699
(325) 998-6239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
202203
TX
106H00000X
Marriage & Family Therapist
Primary
202203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202203
ONLINE MENTAL HEALTH COUNSELING FORUM
TX
Enumeration date
10/22/2020
Last updated
01/02/2024
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