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Individual

CATHY LYNNE BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAC, ADM, CDCS, ABHC

Contact information

Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 373-4732
Mailing address
PO BOX 876741, WASILLA, AK 99687-6741
(907) 373-4732

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
04/17/2019
Last updated
01/16/2024
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