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Mrs. Lisa Reisdorf Bishop
Mental Health Counselor in St Augustine, Florida
NPI 1235166539

Lisa Reisdorf Bishop is a Mental Health Counselor based in St Augustine, FL and is specialized in Mental Health. Lisa Reisdorf Bishop practices in St Augustine, FL. The NPI Number for Lisa Reisdorf Bishop is 1235166539 and holds a License No. MH 7777 (Florida).

The current practice location address for Lisa Reisdorf Bishop is 165 Southpark Blvd, St Augustine, FL and can be reached out via phone at 904-824-7597.

Location: 165 Southpark Blvd, St Augustine, FL, 32084-1462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235166539
Provider Name
Lisa Reisdorf Bishop
Credential
Provider Entity Type
Individual
Gender
Female
Address
165 Southpark Blvd, St Augustine, FL, 32084-1462
Phone Number
904-824-7597
Fax Number
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
165 Southpark Blvd
City
St Augustine
State
Florida
Zip
32086-4101
Phone Number
904-824-7597
Fax Number
person
Provider Business Mailing Address Details
Address
165 Southpark Blvd
City
St Augustine
State
Florida
Zip
32086-4101
Phone Number
904-824-7597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH 7777 (Florida)
Definition
Definition to come...
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