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Organization
ROBERT C. MITCHELL
Active
Organization
ROBERT C. MITCHELL
Active
Other names
ASSOCIATED PSYCHOTHERAPISTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C MITCHELL LCSW (OWNER-DIRECTOR)
(618) 988-1757
Entity
Organization
Contact information
Practice address
1220 S PARK AVE, SUITE D, HERRIN, IL 62948-4177
(618) 988-1757
(618) 988-1700
Mailing address
1220 S PARK AVE, SUITE D, HERRIN, IL 62948-4177
(618) 988-1757
(618) 988-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618888
BLUE CROSS/BLUE SHIELD
IL
01
—
5919746
AETNA EAP
IL
01
—
IGO10320
MAGELLAN
IL
Enumeration date
02/27/2006
Last updated
07/16/2010
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