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Individual

SAMANTHA MITCHELL

Active
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Individual

SAMANTHA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13780
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47-448805
NC
Enumeration date
03/03/2020
Last updated
07/25/2023
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