Individual
CAITLIN JEAN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 762-6800
Mailing address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 762-9561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1883
MN
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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