Individual
MS. TRACEY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., NCC
Contact information
Practice address
8626 AIRWAYS BLVD, SOUTHAVEN, MS 38671-2603
(662) 772-5937
(662) 772-5940
Mailing address
8626 AIRWAYS BLVD, SOUTHAVEN, MS 38671-2603
(662) 772-5937
(662) 772-5940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2962
MS
Other
Enumeration date
03/29/2016
Last updated
04/30/2024
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