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Individual

JERRY MITCHELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19157 CROWLEY EUNICE HWY, CROWLEY, LA 70526
(337) 514-2101
(337) 514-2105
Mailing address
19157 CROWLEY EUNICE HWY, CROWLEY, LA 70526-0801
(337) 514-2101
(337) 514-2105

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
06/21/2017
Last updated
07/21/2022
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