Individual
JANE M MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 NECTAR RD, WALPOLE, MA 02081-1004
(508) 230-4302
Mailing address
19 NECTAR RD, WALPOLE, MA 02081-1004
(508) 230-4302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MA
101YP2500X
Professional Counselor
Primary
3273
MA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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