Individual
DORIS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 KNIGHT ST STE 110, SHREVEPORT, LA 71105-2412
(318) 861-0007
Mailing address
2920 KNIGHT ST STE 110, SHREVEPORT, LA 71105-2412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/20/2016
Last updated
06/26/2023
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