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Individual
SUSAN ANNETTE MITCHELL
Active
Individual
SUSAN ANNETTE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E0003769 SUPV
OH
101YP2500X
Professional Counselor
Primary
E0003769 SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255649521
OTHER
OH
01
—
E0003769
OTHER
OH
Enumeration date
09/20/2010
Last updated
02/14/2023
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