| J. Mitchell Counseling, Pllc | |
|
2103 E Washington St Ste 1d Bloomington IL 61701-4310 | |
| (773) 245-6704 | |
| Not Available |
| Full Name | J. Mitchell Counseling, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2103 E Washington St Ste 1d, Bloomington, Illinois |
| Authorized Official Name and Position | Joseph Matthew Mitchell (OWNER) |
| Authorized Official Contact | 7732456704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Mitchell Counseling, Pllc 2103 E Washington St Ste 1d Bloomington IL 61701-4310 Ph: (773) 245-6704 | J. Mitchell Counseling, Pllc 2103 E Washington St Ste 1d Bloomington IL 61701-4310 Ph: (773) 245-6704 |
| NPI Number | 1164289930 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164289930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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