Individual
KARMEN THEA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MM, MT-BC
Contact information
Practice address
3501 S MASON ST, UNIT 1, FORT COLLINS, CO 80525-2627
(970) 407-9084
Mailing address
3501 S MASON ST, UNIT 1, FORT COLLINS, CO 80525-2627
(970) 407-9084
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
10628
CO
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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