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Individual

MARK MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2945 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2713
(314) 961-6017
(314) 961-6436
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004024006
MO

Other

Enumeration date
10/24/2007
Last updated
10/24/2007
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