Individual provider · Type 1 NPI

Kyle Robert Bishop

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1205753241 Active

Practice location

1947 N California St
Stockton, CA 95204-6034

Mailing address

2833 Meredith Ct
Tracy, CA 95377-7029

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26706 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205753241

Kyle Robert Bishop's National Provider Identifier is 1205753241, issued on Jul 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 1, 2026.