Individual
MRS. ANGELA DION MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
784 WALL ST, SUITE 100, O'FALLON, IL 62269
(618) 515-5158
(618) 533-0012
Mailing address
784 WALL ST, SUITE 100, O'FALLON, IL 62269
(618) 515-5158
(618) 533-0012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.014052
IL
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/20/2011
Last updated
09/19/2022
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