Individual
ROBIN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5128
(217) 585-4700
(217) 585-5651
Mailing address
5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5128
(217) 585-4700
(217) 585-5651
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000399
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166000399
LICENSED MARRIAGE AND FAMILY THERAPIST
IL
Enumeration date
05/10/2019
Last updated
05/10/2019
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