Individual
MRS. CONSWELLA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAC-I
Contact information
Practice address
335 FOUR MILE RD, CONWAY, SC 29526-4506
(843) 488-7500
Mailing address
3532 FRANKLIN ST, LORIS, SC 29569-2255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5518
SC
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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