Individual
SANDRA J MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
161 ST. HELENS STREET, ST. HELENS, OR 97051-3200
(503) 890-5988
Mailing address
PO BOX 474, ST. HELENS, OR 97051-3200
(503) 890-5988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1515
OR
101YP2500X
Professional Counselor
Primary
C1515
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123190
—
OR
Enumeration date
04/09/2007
Last updated
10/10/2013
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