Individual
MR. RAY T. BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.D.C
Contact information
Practice address
16 WESTON ST, HARTFORD, CT 06120-1504
(860) 527-5100
(860) 244-8017
Mailing address
16 WESTON ST, HARTFORD, CT 06120-1504
(860) 527-5100
(860) 244-8017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000949
CT
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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