Individual
ROXANNE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1814 POND RUN, AUBURN HILLS, MI 48326-2768
(248) 340-0559
Mailing address
162 LOIS LN, MOUNT CLEMENS, MI 48043-2243
(810) 335-5029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018242
MI
305S00000X
Point of Service
6401014385
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386004868
—
MI
Enumeration date
07/28/2015
Last updated
05/08/2023
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