Individual
MELISSA DIANA BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2348 COUNTY ROAD 61, DEATSVILLE, AL 36022-3227
(334) 531-0795
Mailing address
1330 COUNTY ROAD 61, BILLINGSLEY, AL 36006
(334) 531-0795
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C3952A
AL
101YP2500X
Professional Counselor
Primary
LPC05257
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001002225
—
AL
Enumeration date
07/27/2022
Last updated
06/07/2024
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