Individual
STACIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2309 C ST SW, CEDAR RAPIDS, IA 52404-3707
(319) 365-9164
(319) 368-3358
Mailing address
2309 C ST SW, CEDAR RAPIDS, IA 52404-3707
(319) 365-9164
(319) 368-3358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00967
IA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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