Individual
BEAU J BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1700 S LAMAR BLVD, AUSTIN, TX 78704-8962
(512) 348-4712
Mailing address
2309 BERKELEY AVE APT 1008, AUSTIN, TX 78745-4358
(512) 234-2139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
75481
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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