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Individual

MICHELLE M BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC,CRC

Contact information

Practice address
1417 N 4TH ST, COEUR D ALENE, ID 83814-3310
(208) 292-2188
(208) 292-2189
Mailing address
1417 N 4TH ST, COEUR D ALENE, ID 83814-3310
(208) 292-2188
(208) 292-2189

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC 4526
ID
101YP2500X
Professional Counselor
Primary
LPC 4526
ID

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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