Provider Demographics
NPI:1275187478
Name:KAUFFMAN BISSELL, LONDA K (MA, LCMHC)
Entity Type:Individual
Prefix:
First Name:LONDA
Middle Name:K
Last Name:KAUFFMAN BISSELL
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 S FRENCH BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3901
Mailing Address - Country:US
Mailing Address - Phone:828-776-9777
Mailing Address - Fax:828-254-1524
Practice Address - Street 1:233 S FRENCH BROAD AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3901
Practice Address - Country:US
Practice Address - Phone:828-254-0762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14310101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional