person
Stacey M Mitchell, PCMHT
Mental Health Counselor in Jackson, Mississippi
NPI 1528627593

Stacey M Mitchell is a Mental Health Counselor based in Jackson, MS and is specialized in Mental Health. Stacey M Mitchell practices in Jackson, MS and has the professional credentials of PCMHT. The NPI Number for Stacey M Mitchell is 1528627593 and holds a License No. (Mississippi).

The current practice location address for Stacey M Mitchell is 3450 Highway 80 W, Jackson, MS and can be reached out via phone at 601-321-2400 and via fax at 601-985-5174.

Location: 3450 Highway 80 W, Jackson, MS, 39209-7201
person
Provider Profile Details
NPI Number
1528627593
Provider Name
Stacey M Mitchell
Credential
PCMHT
Provider Entity Type
Individual
Gender
Female
Address
3450 Highway 80 W, Jackson, MS, 39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
Provider Enumeration Date
06/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018209 05 MS
institution
Provider Business Practice Location Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
person
Provider Business Mailing Address Details
Address
3450 Highway 80 W
City
State
Zip
39209-7201
Phone Number
601-321-2400
Fax Number
601-985-5174
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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