Individual
COURTNEY BISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 WILLOW LAWN DR STE 203, RICHMOND, VA 23230-3412
(202) 740-3063
Mailing address
1516 WILLOW LAWN DR STE 203, RICHMOND, VA 23230-3412
(202) 740-3063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/18/2014
Last updated
08/18/2014
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