Individual
MRS. ANGELA CAROL MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
2101 LAZY BROOK TRL, EDMOND, OK 73013-2741
(405) 816-1098
Mailing address
2101 LAZY BROOK TRL, EDMOND, OK 73013-2741
(405) 816-1098
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/18/2011
Last updated
10/30/2013
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