Individual
MICHELLE A. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRT-CSP
Contact information
Practice address
710 BUCKSPORT RD, ELLSWORTH, ME 04605-2722
(207) 667-6890
(207) 667-6457
Mailing address
710 BUCKSPORT RD, ELLSWORTH, ME 04605-2722
(207) 667-6890
(207) 667-6457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103850000
—
ME
Enumeration date
04/05/2011
Last updated
04/05/2011
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