Individual
KELLY BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPC
Contact information
Practice address
8181 MAIN STREET, 2ND FLOOR, ELLICOTT CITY, MD 21043
(757) 651-3001
(757) 222-3833
Mailing address
5010 RITTER RD STE 109, MECHANICSBURG, PA 17055-4828
(717) 357-8230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13457
MD
101YM0800X
Mental Health Counselor
PC015753P
PA
Other
Enumeration date
04/27/2021
Last updated
11/29/2023
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