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Individual

MS. MICHELE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CSAC, LASAC

Contact information

Practice address
495 N PINAL PKWY, FLORENCE, AZ 85132-9292
(833) 431-4449
Mailing address
1469 N 1200 W, OREM, UT 84057-2449
(801) 655-5450
(385) 225-9327

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17085-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAAC-15558
AZ
101YM0800X
Mental Health Counselor
8796-125
WI
101YM0800X
Mental Health Counselor
LCPC-8761173
ID
101YP2500X
Professional Counselor
Primary
LPC-08043
AZ

Other

Enumeration date
08/13/2019
Last updated
03/21/2025
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