Individual
AVERY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2001 MARTIN LUTHER KING JR DR SW STE 410C, ATLANTA, GA 30310-5806
(678) 316-6997
Mailing address
4910 EAGLES VALLEY CIR, LITHONIA, GA 30038-3552
(678) 316-6997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007152
GA
Other
Enumeration date
07/05/2013
Last updated
11/27/2023
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