Individual
MARIO CORNELIUS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 HABITAT ST, AMERICUS, GA 31709-3472
(229) 591-0465
Mailing address
209 HABITAT ST, AMERICUS, GA 31709-3472
(229) 591-0465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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