Individual
KELVIN MAURICE MITCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 485-2768
Mailing address
100 STONEMILL DR APT D, LYNCHBURG, VA 24502-2062
(804) 887-9175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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