Individual
JAMIE LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(735) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34006816A
IN
104100000X
Social Worker
33005919A
IN
1041C0700X
Clinical Social Worker
Primary
34006816A
IN
Other
Enumeration date
04/27/2011
Last updated
11/19/2015
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