| Lisa F. Mitchell, Lcpc, Llc | |
|
2545 Little Vista Ter Olney MD 20832-1568 | |
| (240) 498-9089 | |
| (301) 738-9902 |
| Full Name | Lisa F. Mitchell, Lcpc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2545 Little Vista Ter, Olney, Maryland |
| Authorized Official Name and Position | Lisa Fawn Mitchell (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2404989089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa F. Mitchell, Lcpc, Llc 2545 Little Vista Ter Olney MD 20832-1568 Ph: (240) 498-9089 | Lisa F. Mitchell, Lcpc, Llc 2545 Little Vista Ter Olney MD 20832-1568 Ph: (240) 498-9089 |
| NPI Number | 1770303638 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770303638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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