Individual
MS. AMY LAUREN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
113 W MAIN ST STE 8, JACKSON, MO 63755-1859
(573) 352-5281
Mailing address
113 W MAIN ST STE 8, JACKSON, MO 63755-1859
(573) 352-5281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021040845
MO
101YM0800X
Mental Health Counselor
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Other
Enumeration date
10/14/2021
Last updated
12/09/2024
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