Individual
KRISTINE MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1955 N VALLEY DR, LAS CRUCES, NM 88007-5154
(575) 571-7337
(575) 524-2993
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M-10345
NM
104100000X
Social Worker
M-10345
NM
Other
Enumeration date
12/05/2018
Last updated
02/25/2020
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