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Individual

HENRY MITCHELL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
157 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-6823
(985) 537-5519
Mailing address
157 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-6823
(985) 537-5519

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6665
LA
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Enumeration date
11/25/2015
Last updated
03/07/2019
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