Individual
MS. LISA FAWN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2545 LITTLE VISTA TER, OLNEY, MD 20832-1568
(240) 498-9089
(301) 738-9901
Mailing address
2545 LITTLE VISTA TER, OLNEY, MD 20832-1568
(240) 498-9089
(301) 738-9901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC1005
MD
Other
Enumeration date
06/25/2008
Last updated
10/15/2024
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