Individual
MS. ANNE ELIZABETH MITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS,LP
Contact information
Practice address
280 MADISON AVE, SUITE 1108 AND 608, NEW YORK, NY 10016-0801
(646) 335-3619
Mailing address
280 MADISON AVE, SUITE 1108AND 608, NEW YORK, NY 10016-0801
(646) 335-3619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00347-1
NY
101YP2500X
Professional Counselor
00347-1
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
131221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000347
PSYCHOANALYST LICENSE
—
01
—
131221-1
REGISTERED NURSE
NY
01
—
A300054173
PTAN #A300054173
NY
Enumeration date
10/17/2006
Last updated
02/22/2013
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