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Individual

JOHANNA MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, NCC, LPCC/LPC-SA

Contact information

Practice address
4611 JAMAICA DR NE, ALBUQUERQUE, NM 87111-2839
(505) 310-1036
Mailing address
4611 JAMAICA DR NE, ALBUQUERQUE, NM 87111-2839
(504) 822-6888
(504) 822-6886

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CTB-2024-0690
NM
101YP2500X
Professional Counselor
Primary
5064
LA

Other

Enumeration date
06/07/2010
Last updated
12/05/2025
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