Individual
TARA NICOLE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1215 ANNAPOLIS RD, ODENTON, MD 21113-1344
(410) 975-0067
Mailing address
9524 WANDERING WAY, COLUMBIA, MD 21045-3243
(301) 793-5160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12208
MD
101YP2500X
Professional Counselor
LC12208
MD
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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