Cathy Lynne Bishop, MAC, ADM, CDCS, ABHC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI 1306409297 · NPPES record last updated Jan 16, 2024

Key facts

NPI
1306409297
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
7010 E Bogard Rd
Wasilla, AK 99654-4711
Phone
(907) 373-4732
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Addiction Rehabilitation Services Inc. Dba Nugen'S Ranch Past
since Aug 18, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

7010 E Bogard Rd
Wasilla, AK 99654-4711

Mailing address

PO Box 876741
Wasilla, AK 99687-6741
Phone (907) 373-4732

Other names

  • Cathy Lynne Camp Former name

Other providers in Wasilla, AK

All providers in Wasilla, AK · Addiction (Substance Use Disorder) Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.