Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1306270129 |
---|---|
Provider Name | Dr. Nadrien Jessica Bishop |
First Address | Los Angeles, CA 90017-1833 |
Second Address | Los Angeles, CA 90017-1833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2013 |
Last Update Date | 03/10/2017 |