Individual
MRS. JOSEPHINE V. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8257
(931) 647-2978
Mailing address
2808 SPARROW DR, CLARKSVILLE, TN 37040-5926
(931) 552-9225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747A0650X
RESIDENTIAL TREATMENT
—
Enumeration date
03/02/2007
Last updated
10/16/2012
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