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Individual

CARISSA MARIE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, CT

Contact information

Practice address
1020 WOODMAN DR STE 330, DAYTON, OH 45432-1410
(937) 253-0606
Mailing address
1020 WOODMAN DR STE 330, DAYTON, OH 45432-1410
(937) 253-0606

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2002974
OH

Other

Enumeration date
01/17/2019
Last updated
11/13/2020
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