Individual
BROOKE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, LMHC
Contact information
Practice address
953 KEATON PKWY, OCOEE, FL 34761-4301
(407) 722-1095
Mailing address
953 KEATON PKWY, OCOEE, FL 34761-4301
(407) 722-1095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22811
FL
Other
Enumeration date
09/23/2024
Last updated
10/12/2024
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