Individual
LISA DAWN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1062 E 220 S, AMERICAN FORK, UT 84003-5504
(801) 642-2193
Mailing address
1497 S 620 W, PROVO, UT 84601-4801
(503) 438-5444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9154009-3902
UT
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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