Individual
MARK MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
119 E CENTER ST STE B6, WARSAW, IN 46580-2849
(574) 529-1042
Mailing address
119 E CENTER ST STE B6, WARSAW, IN 46580-2849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001778A
IN
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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