Individual
KURTIS JAMES MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP LMFT
Contact information
Practice address
576 OLIVE ST SUITE 307, EUGENE, OR 97401
(541) 344-7303
Mailing address
576 OLIVE ST SUITE 307, EUGENE, OR 97401
(541) 344-7303
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0449
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037759
—
OR
Enumeration date
11/28/2006
Last updated
07/08/2007
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