Individual
LOREN D MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4699 SILVER MOUNTAIN RD, EAGLE MOUNTAIN, UT 84005-5897
(801) 310-7871
Mailing address
4699 SILVER MOUNTAIN RD, EAGLE MOUNTAIN, UT 84005-5897
(801) 310-7871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6383939-6004
UT
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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