Individual
BRENTON JOO MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
141 E FAIRMOUNT AVE, STATE COLLEGE, PA 16801-5315
(814) 234-3464
Mailing address
141 E FAIRMOUNT AVE, STATE COLLEGE, PA 16801-5315
(814) 234-3464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015196
PA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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