Individual
JENNIFER MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LADC
Contact information
Practice address
602 11TH AVE NW STE 300, ROCHESTER, MN 55901-2297
(507) 292-1379
Mailing address
602 11TH AVE NW STE 300, ROCHESTER, MN 55901-2297
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304353
MN
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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