Individual
TERRY E. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRT-CSP, MHRT-C
Contact information
Practice address
1 EDGEMONT DR, PRESQUE ISLE, ME 04769
(207) 764-3319
(207) 768-5377
Mailing address
1 EDGEMONT DR, PRESQUE ISLE, ME 04769-2036
(207) 764-3319
(207) 768-5377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073765236
—
ME
Enumeration date
10/21/2008
Last updated
06/07/2018
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