Individual
BENJAMIN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCMHT
Contact information
Practice address
103 S 19TH AVE, HATTIESBURG, MS 39401-6171
(601) 544-4641
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5407
MS
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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