Individual
JILL BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
6339 CONSTITUTION DR, FORT WAYNE, IN 46804-1547
(260) 200-3916
Mailing address
10315 GLEN ARBOR PASS, FORT WAYNE, IN 46814-9539
(260) 200-3916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004341A
IN
Other
Enumeration date
12/13/2021
Last updated
04/05/2026
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