Individual
JESSICA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001130
CT
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/25/2011
Last updated
05/26/2015
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