Individual
LORI MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W CHOCTAW AVE, CHICKASHA, OK 73018-2310
(405) 222-0622
Mailing address
PO BOX 358, FORT COBB, OK 73038-0358
(918) 916-6613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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