Individual
MRS. JESSICA LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCM II
Contact information
Practice address
1001 W MAIN ST, DURANT, OK 74701-5038
(580) 924-7330
(580) 924-2739
Mailing address
1001 W MAIN, DURANT, OK 74701-5038
(580) 924-7330
(580) 924-2739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200453720A
—
OK
Enumeration date
05/29/2014
Last updated
03/17/2018
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