Individual
JAMES EDWARD MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 S C ST, LOMPOC, CA 93436-7340
(805) 741-7460
Mailing address
110 S C ST, LOMPOC, CA 93436-7340
(805) 741-7460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12477
NE
101YP2500X
Professional Counselor
Primary
16381
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/27/2021
Last updated
04/25/2024
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