Individual
JENNIFER MARIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26 MILESTONE LN, MADISON, CT 06443-2321
(860) 966-4220
Mailing address
26 MILESTONE LN, MADISON, CT 06443-2321
(860) 966-4220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
006215
CT
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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