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Individual

MICHAEL BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D, NCC, LPC

Contact information

Practice address
4989 N 3RD ST, LARAMIE, WY 82072
(307) 745-8997
Mailing address
2970 WELSH LN, LARAMIE, WY 82070-8407
(307) 745-8997

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-1313
WY
101Y00000X
Counselor
PPC - 449
WY
101YP2500X
Professional Counselor
Primary
LPC-1313
WY
101YP2500X
Professional Counselor
PPC - 449
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
449
STATE
WY
Enumeration date
10/26/2011
Last updated
09/27/2018
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