Ray T. Bishop, L.A.D.C Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Hartford, CT

NPI

1275804874

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

000949 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2012-01-13

Last updated

2012-01-13