Individual
C JEFFREY BISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
409 GLENWOOD ST., STE 500, GLEN ROSE, TX 76043
(254) 897-2202
(254) 897-2102
Mailing address
PO BOX 806, GLEN ROSE, TX 76043-0806
(254) 897-2202
(254) 897-2102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
07/09/2007
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