Individual
JODIE SUE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
20 MAIN ST STE A, DENVER, PA 17517-1610
(717) 875-1655
Mailing address
93 SCENIC DR, DENVER, PA 17517-9344
(484) 599-0188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015386
PA
Other
Enumeration date
04/10/2023
Last updated
10/07/2024
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