Individual
ANGELENA BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCDCA
Contact information
Practice address
5209 EUCLID AVE, CLEVELAND, OH 44103-3703
(216) 881-0765
(216) 431-2190
Mailing address
5209 EUCLID AVE, CLEVELAND, OH 44103-3703
(216) 881-0765
(216) 431-2190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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