Individual
MRS. MARQUETTA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 554-4489
(215) 745-6511
Mailing address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 554-4489
(215) 745-6511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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