Individual
DR. JILL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1159 E IRON EAGLE DR, SUITE 170-F, EAGLE, ID 83616-6871
(208) 939-0338
(208) 321-4130
Mailing address
1159 E IRON EAGLE DR, SUITE 170-F, EAGLE, ID 83616-6871
(208) 939-0338
(208) 321-4130
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-12
ID
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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