Individual
JONATHAN ALLEN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1722 STOCKTON ST, RICHMOND, VA 23224-3850
(804) 539-0341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015060
VA
Other
Enumeration date
03/17/2023
Last updated
03/21/2023
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