Individual
KRISTY LEE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
14 W PARK AVE, CHERRY, IL 61317-1066
(815) 481-1799
Mailing address
PO BOX 309, CHERRY, IL 61317-0309
(815) 481-1799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33539
IL
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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