Individual provider · Type 1 NPI

Lisa Reisdorf Bishop

Mental Health Counselor · St. Augustine, FL

NPI number 1235166539 Active

Practice location

165 Southpark Blvd
St. Augustine, FL 32086-4101

Call (904) 824-7597 Map

Mailing address

508 12th St
St. Augustine, FL 32084-1462

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 7777 (FL)

Mental Health Counselor: Definition to come...

14 other providers at this address

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About NPI 1235166539

Lisa Reisdorf Bishop's National Provider Identifier is 1235166539, issued on Jun 26, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.