Provider Information for 1942585047
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Mrs. ANGELA DION MITCHELL LCPC
Sex: Female
NPI: 1942585047
Last Updated: 2022-09-19
Certification Date: 2022-09-19
Certification Date: 2022-09-19
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1942585047 | ||||||||||||||||
| Enumeration Date | 2011-10-20 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 784 WALL ST SUITE 100 O'FALLON, IL 62269 United States Phone: 618-515-5158 | Fax:618-533-0012 | ||||||||||||||||
| Primary Practice Address | 784 WALL ST SUITE 100 O'FALLON, IL 62269 United States Phone: 618-515-5158 | Fax:618-533-0012 | ||||||||||||||||
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