Individual
JEREZ MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
8561 SENTRY CIR, NORTH CHARLESTON, SC 29420-8354
(817) 308-7834
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1918
SC
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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