Individual
ALYSSA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
3239 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-7650
Mailing address
201 EDWARDS AVE, WESTCLIFFE, CO 81252-8869
(850) 377-1504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002066
CO
101YP2500X
Professional Counselor
Primary
LPC.0019642
CO
Other
Enumeration date
01/31/2020
Last updated
09/10/2024
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