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Individual

MS. CATHERINE ANN BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC, NCC, LADC

Contact information

Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 582-6405
Mailing address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 582-6405

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4570
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100732910-A
GROUP MEDICAID/SOONERCARE
OK
01
100732910-G
GROUP MEDICAID/SOONERCARE
OK
05
200474700-A
OK
01
73-1042545
GROUP BCBS
OK
01
731042545001
GROUP TRICARE
OK
Enumeration date
03/17/2009
Last updated
12/28/2017
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