Individual
ALLISON RENE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1495 CHAIN BRIDGE RD STE 300, MC LEAN, VA 22101-5727
(703) 589-5559
Mailing address
4122 TETON PL, ALEXANDRIA, VA 22312-1124
(619) 788-3459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010800
VA
Other
Enumeration date
11/13/2018
Last updated
06/02/2021
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