Individual
CANDICE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LGPC,NCC
Contact information
Practice address
11155 STRATFIELD CT, MARRIOTTSVILLE, MD 21104-1650
(443) 219-5412
Mailing address
11155 STRATFIELD CT # 21104, MARRIOTTSVILLE, MD 21104-1650
(443) 934-1462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP11470
MD
101YP2500X
Professional Counselor
Primary
LGP11470
MD
Other
Enumeration date
05/12/2021
Last updated
06/23/2021
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