Individual
MR. JEFFREY THOMAS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MS, LPS, LAC
Contact information
Practice address
757 MALETA LN STE 101, CASTLE ROCK, CO 80108-7612
(720) 733-8886
(720) 733-8894
Mailing address
757 MALETA LN STE 101, CASTLE ROCK, CO 80108-7612
(303) 396-7049
(720) 733-8894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ACC.0006290
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0006290
CO
101YM0800X
Mental Health Counselor
ACC.0006290
CO
101YP2500X
Professional Counselor
ACC.0006290
CO
Other
Enumeration date
04/22/2021
Last updated
08/10/2022
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