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Individual

RITA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
319 PARK ST, PLAINWELL, MI 49080-1655
(269) 685-9401
(269) 685-9403
Mailing address
606 LAWRENCE DR, OTSEGO, MI 49078-1527
(269) 377-8373

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007886
MI
101YS0200X
School Counselor
CC-XXR480081183
MI

Other

Enumeration date
08/05/2017
Last updated
08/05/2017
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