Individual
MRS. LEONA DEMETHIA BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., NCC, LPC
Contact information
Practice address
4500 I-55 NORTH, HIGHLAND VILLAGE- SUITE 220, JACKSON, MS 39157
(601) 832-2956
Mailing address
725 HAWTHORN GREEN DR, RIDGELAND, MS 39157-1545
(601) 832-2956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0594
MS
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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