Lisa Renae Mitchell

NPI #1740760859 in Dixon, Illinois

Provider Information

NPI Number: 1740760859
Entity Type: Individual
Name: Lisa Renae Mitchell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 17, 2018
Last Updated: Aug 17, 2018

Practice Location

Address: 322 DEPOT AVE
City: Dixon
State: Illinois
ZIP Code: 61021-2850
Phone: (815) 288-6057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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