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Individual

MR. JAY E MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, MFT

Contact information

Practice address
110 W CRAWFORD ST STE J, DEER PARK, WA 99006-5356
(509) 818-6844
Mailing address
PO BOX 1641, DEER PARK, WA 99006-1641
(509) 818-6844

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61315505
WA

Other

Enumeration date
04/05/2021
Last updated
10/07/2022
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