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Individual

PATRICE BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, LMHC, SUDP

Contact information

Practice address
32473 22ND AVE SW, FEDERAL WAY, WA 98023-2503
(602) 341-7352
Mailing address
32473 22ND AVE SW, FEDERAL WAY, WA 98023-2503
(602) 341-7352

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00003600
WA
101YM0800X
Mental Health Counselor
LH00008156
WA
104100000X
Social Worker
Primary
LW60174881
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2109626
WA
Enumeration date
06/30/2010
Last updated
12/09/2025
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