C JEFFREY BISE LPC
NPI 1497831432
Counselor - Professional in Glen Rose, TX
Active since October 31, 2006
409 GLENWOOD ST., STE 500, GLEN ROSE, TX 76043(254) 897-2202(254) 897-2102 Get Directions Write a Review
About C Jeffrey Bise Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
C JEFFREY BISE LPC (NPI 1497831432) is an individual professional provider in Glen Rose, Texas and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1497831432
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameC JEFFREY BISECredential: LPC
Location Address409 GLENWOOD ST., STE 500Glen Rose, TX 76043
Mailing AddressPo Box 806Glen Rose, TX 76043-0806 · (254) 897-2202 · Fax (254) 897-2102
Phone(254) 897-2202
Fax(254) 897-2102
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1497831432 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
409 GLENWOOD ST., STE 500, Glen Rose, TX 76043
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497831432, enumerated as an "individual" on October 31, 2006.
The provider is located at 409 GLENWOOD ST., STE 500 GLEN ROSE, TX 76043 and the phone number is (254) 897-2202.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
