Individual
STACEY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35300 NANKIN BLVD, WESTLAND, MI 48185-7222
(734) 664-6549
Mailing address
35300 NANKIN BLVD, WESTLAND, MI 48185
(734) 664-6549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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