Carissa Mitchell Lpcc Llc | |
620 Kling Dr Dayton OH 45419-4201 | |
(937) 701-7913 | |
Not Available |
Full Name | Carissa Mitchell Lpcc Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 620 Kling Dr, Dayton, Ohio |
Authorized Official Name and Position | Carissa Mitchell (THERAPIST) |
Authorized Official Contact | 9373477409 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carissa Mitchell Lpcc Llc 2233 Fauver Ave Dayton OH 45420-2522 Ph: () - | Carissa Mitchell Lpcc Llc 620 Kling Dr Dayton OH 45419-4201 Ph: (937) 701-7913 |
NPI Number | 1518719004 |
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Provider Enumeration Date | 04/05/2024 |
Last Update Date | 04/05/2024 |
Certification Date | 04/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518719004 | NPI | - | NPPES |
1093289530 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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