Organization
JEFFREY D BISHOP MA LMHC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BISHOP (PRESIDENT / PSYCHOTHERAPIST)
(904) 228-7148
Entity
Organization
Contact information
Practice address
1728 KINGSLEY AVE, SUITE 7, ORANGE PARK, FL 32073-4460
(904) 228-7148
Mailing address
1728 KINGSLEY AVE, SUITE 7, ORANGE PARK, FL 32073-4460
(904) 228-7148
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH11129
FL
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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