Individual
MRS. ALISA DANAE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2940 W SUNSET AVE STE D, SPRINGDALE, AR 72762-4974
(501) 205-4570
Mailing address
24189 FALLING SPRINGS RD, GENTRY, AR 72734-9006
(903) 701-6840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
2022013920
MO
101YP2500X
Professional Counselor
Primary
P2007034
AR
Other
Enumeration date
11/25/2013
Last updated
04/21/2024
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