Individual
MRS. MARISSA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1500 MCANDREWS RD W STE 227, BURNSVILLE, MN 55337-4447
(952) 892-8402
(952) 892-8402
Mailing address
1500 MCANDREWS RD W STE 227, BURNSVILLE, MN 55337-4447
(952) 892-8402
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124265491
—
MN
Enumeration date
01/08/2009
Last updated
03/17/2018
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