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Derris Mitchell
Professional Counselor in Douglasville, Georgia
NPI 1215222690

Derris Mitchell is a Professional Counselor based in Douglasville, GA and is specialized in Professional. Derris Mitchell practices in Douglasville, GA. The NPI Number for Derris Mitchell is 1215222690 and holds a License No. LPC004016 (Georgia).

The current practice location address for Derris Mitchell is 8303 Office Park Drive, Douglasville, GA and can be reached out via phone at 678-838-8333.

Location: 8303 Office Park Drive, Douglasville, GA, 30135-7451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215222690
Provider Name
Derris Mitchell
Credential
Provider Entity Type
Individual
Gender
Male
Address
8303 Office Park Drive, Douglasville, GA, 30135-7451
Phone Number
678-838-8333
Fax Number
Provider Enumeration Date
06/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8303 Office Park Drive
City
Douglasville
State
Georgia
Zip
30134
Phone Number
678-838-8333
Fax Number
person
Provider Business Mailing Address Details
Address
8303 Office Park Drive
City
Douglasville
State
Georgia
Zip
30134
Phone Number
678-838-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC004016 (Georgia)
Definition
Definition to come...
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