person
Wister Mitchelson
Professional Counselor in Stanardsville, Virginia
NPI 1659046720

Wister Mitchelson is a Professional Counselor based in Stanardsville, VA and is specialized in Professional. Wister Mitchelson practices in Stanardsville, VA. The NPI Number for Wister Mitchelson is 1659046720 and holds a License No. 0701010642 (Virginia).

The current practice location address for Wister Mitchelson is 9968 Spotswood Trail, Stanardsville, VA and can be reached out via phone at 434-962-9622.

Location: 9968 Spotswood Trail, Stanardsville, VA, 22973
person
Provider Profile Details
NPI Number
1659046720
Provider Name
Wister Mitchelson
Credential
Provider Entity Type
Individual
Gender
Male
Address
9968 Spotswood Trail, Stanardsville, VA, 22973
Phone Number
434-962-9622
Fax Number
Provider Enumeration Date
08/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0701010642 05 VA
institution
Provider Business Practice Location Address Details
Address
9968 Spotswood Trail
City
State
Zip
22973-2297
Phone Number
434-962-9622
Fax Number
person
Provider Business Mailing Address Details
Address
9968 Spotswood Trail
City
State
Zip
22973-2297
Phone Number
434-962-9622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701010642 (Virginia)
Definition
Definition to come...
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