Individual
KASSANDRA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 PEARL ST, SIOUX CITY, IA 51101-1445
(818) 404-5125
Mailing address
4700 GORDON DR STE 202, SIOUX CITY, IA 51106-1911
(818) 392-4611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
115968
IA
106H00000X
Marriage & Family Therapist
Primary
115968
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115968
STATE OF IOWA
IA
Enumeration date
11/30/2022
Last updated
02/10/2025
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