Individual
BIDDY SHERMAN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CRC, CDMS
Contact information
Practice address
33 GIBSON AVE, HUNTINGTON, NY 11743-2719
(631) 385-2068
(631) 385-2068
Mailing address
33 GIBSON AVE, HUNTINGTON, NY 11743-2719
(631) 385-2068
(631) 385-2068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C-18090
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-18090
NY
101YM0800X
Mental Health Counselor
C-18090
NY
171M00000X
Case Manager/Care Coordinator
00003636
NY
225400000X
Rehabilitation Practitioner
C-18090
NY
225C00000X
Rehabilitation Counselor
Primary
C-18090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659453124
—
NY
Enumeration date
10/20/2006
Last updated
05/14/2008
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