Individual
KISHA RENEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1200 NOBLE ST, SUITE 120, ANNISTON, AL 36201-4659
(256) 741-6165
Mailing address
220 COFFEE ST SW, APT 134, JACKSONVILLE, AL 36265-2523
(205) 307-9292
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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