Individual
JENNIFER A MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 S 10TH ST, SUITE B, GRIFFIN, GA 30224-2803
(770) 233-2809
Mailing address
315 ROYAL ST, MCDONOUGH, GA 30253-6486
(770) 233-2809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC001607
GA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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