Individual
SHARON M MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
150 E BLOOMINGDALE AVE, BRANDON, FL 33511-8151
(813) 957-0419
Mailing address
PO BOX 4019, BRANDON, FL 33509-4019
(813) 957-0419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH6307
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/02/2008
Last updated
05/06/2020
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