Individual
MISS CARLOTTA DIANE-EDWINA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
29015 POWERS ST, WESTLAND, MI 48186-5141
(313) 320-8381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013010
MI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/26/2009
Last updated
04/20/2015
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