Individual
CONSTANCE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2112 LANGDON RD, RALEIGH, NC 27604-3616
(919) 889-2868
(919) 954-7124
Mailing address
2112 LANGDON RD, RALEIGH, NC 27604-3616
(919) 889-2868
(919) 954-7124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
3458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102601
—
NC
Enumeration date
01/12/2007
Last updated
08/22/2009
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