Derris Mitchell
NPI #1215222690 in Douglasville, Georgia
Provider Information
- NPI Number
- 1215222690
- Entity Type
- Individual
- Name
- Derris Mitchell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 14, 2011
- Last Updated
- Jun 14, 2011
Practice Location
- Address
- 8303 OFFICE PARK DRIVE
- Address 2
- SUITE B
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134
- Phone
- (678) 838-8333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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