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Individual

JOLIN MITCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, CRC

Contact information

Practice address
437 S YELLOWSTONE DR STE 219, MADISON, WI 53719-1061
(608) 251-4164
Mailing address
421 LUSTER AVE, MADISON, WI 53704-1515
(608) 251-4164

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7104
WI
101YP2500X
Professional Counselor
Primary
7104
WI
225C00000X
Rehabilitation Counselor
111708

Other

Enumeration date
02/10/2020
Last updated
02/10/2020
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