Individual
CHRISTINE MARIE MITCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
20700 WATERTOWN RD STE 102, WAUKESHA, WI 53186-1800
(262) 782-1474
(262) 782-1441
Mailing address
W263N2080 E FIELDHACK DR UNIT 208, PEWAUKEE, WI 53072-5403
(262) 305-8835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10199-125
WI
101YP2500X
Professional Counselor
Primary
10199-125
WI
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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