Individual
NEIL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
309 E NORTH ST, WAUKESHA, WI 53188-3718
(262) 408-2530
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3598-226
WI
Other
Enumeration date
08/11/2017
Last updated
06/26/2023
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