Individual
MRS. JODY BETH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1520 N ROCK RUN DR, SUITE 30A, CREST HILL, IL 60435-3153
(815) 741-3009
Mailing address
708 STEAMBOAT CT, OTTAWA, IL 61350-9571
(815) 313-5721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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