Individual
MR. THOMAS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
223 W 28TH AVE, COVINGTON, LA 70433
(731) 267-2521
(985) 892-3875
Mailing address
223 W 28TH AVE, COVINGTON, LA 70433-2119
(731) 267-2521
(985) 892-3875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7325
LA
101YP2500X
Professional Counselor
LPC0000003227
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022788
—
TN
Enumeration date
12/14/2014
Last updated
06/22/2019
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