Individual
TRAVIS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
6230 N VERMONT AVE, OKLAHOMA CITY, OK 73112-1312
(405) 623-6940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
1362
OK
Other
Enumeration date
04/18/2013
Last updated
10/30/2020
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