Individual
MR. JESUS DAVID MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC-III
Contact information
Practice address
521 BEALL AVE, WOOSTER, OH 44691-3589
(330) 262-7836
(330) 262-2867
Mailing address
521 BEALL AVE, WOOSTER, OH 44691-3589
(330) 262-7836
(330) 262-2867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
081228
OH
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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