Individual
AMANDA K BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(918) 232-6310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5440
OK
Other
Enumeration date
07/26/2012
Last updated
07/21/2022
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