Individual
MS. MAUREEN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 931-2700
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2016008376
MO
101YP2500X
Professional Counselor
Primary
2016008376
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154871187
—
MO
05
—
1805
—
MO
Enumeration date
10/20/2016
Last updated
05/25/2023
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