# TERESA DANIELLE MITCHEM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225385602
- **Gender:** F
- **Credential:** MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | NULL | — |
| 104100000X | Social Worker | — | NULL | — |
| 222Q00000X | Developmental Therapist | — | NULL | — |
| 251B00000X | Case Management Agency | 100523 | FL | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/05/2012
- **Last updated:** 09/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 013510800 | — | FL |
| 05 | — | 105479600 | — | FL |