Organization
J. MITCHELL COUNSELING, PLLC
Active
Other names
HEARTGLOW COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MATTHEW MITCHELL PH.D (OWNER)
(773) 245-6704
Entity
Organization
Contact information
Practice address
2103 E WASHINGTON ST STE 1D, BLOOMINGTON, IL 61701-4310
(773) 245-6704
Mailing address
2103 E WASHINGTON ST STE 1D, BLOOMINGTON, IL 61701-4310
(773) 245-6704
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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