Individual
JESSE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 ORLEANS DR STE 3, HATTIESBURG, MS 39402-2109
(662) 304-9043
Mailing address
35 E ANDOVER, HATTIESBURG, MS 39402-1282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10729
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
09/20/2016
Last updated
04/15/2026
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