Individual
CHRYSTAL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0690
Mailing address
506 CALVIN DEES ST, WIGGINS, MS 39577-2519
(601) 528-1527
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2400
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
07/28/2015
Last updated
06/29/2019
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