Organization
AWAKE & ALIGN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEL MYANNA MITCHELL MSW, LCSW (OWNER)
(503) 267-0143
Entity
Organization
Contact information
Practice address
1760 ARUNDEL DR, FLORISSANT, MO 63033-6325
(503) 267-0143
Mailing address
1760 ARUNDEL DR, FLORISSANT, MO 63033-6325
(503) 267-0143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017008132
MO
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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