Individual
MR. CALEB CHARLES MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(623) 295-9448
Mailing address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(623) 295-9448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00011018
WA
101YP2500X
Professional Counselor
Primary
LPC-12366
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH00011018
MENTAL HEALTH COUNSELOR
WA
01
—
LPC-12366
LICENSED PROFESSIONAL COUNSELOR
AZ
Enumeration date
02/05/2007
Last updated
06/16/2018
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