Individual
CAITLYN MACKENZIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LGPC
Contact information
Practice address
3094 CHARLES TOWN RD, KEARNEYSVILLE, WV 25430-2669
(703) 049-0120
Mailing address
261 AIKENS CTR STE 304, MARTINSBURG, WV 25404-6201
(304) 440-9955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP11756
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
11/03/2020
Last updated
10/20/2022
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