Individual
MARVIN BISHOP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMHP
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
(402) 397-1404
Mailing address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
(402) 397-1404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1142
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47076510726
—
NE
Enumeration date
07/06/2007
Last updated
11/09/2023
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