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Lajuana Ebony Mary Mitchell, LPC
Professional Counselor in Phoenix, Arizona
NPI 1760917553

Lajuana Ebony Mary Mitchell is a Professional Counselor based in Phoenix, AZ and is specialized in Professional. Lajuana Ebony Mary Mitchell practices in Phoenix, AZ and has the professional credentials of LPC. The NPI Number for Lajuana Ebony Mary Mitchell is 1760917553 and holds a License No. LPC16755 (Arizona).

The current practice location address for Lajuana Ebony Mary Mitchell is 4802 E Ray Rd Ste 23-266, Phoenix, AZ and can be reached out via phone at 602-620-5507 and via fax at 602-491-2677.

Location: 4802 E Ray Rd Ste 23-266, Phoenix, AZ, 85044-0620
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Provider Profile Details
NPI Number
1760917553
Provider Name
Lajuana Ebony Mary Mitchell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4802 E Ray Rd Ste 23-266, Phoenix, AZ, 85044-0620
Phone Number
602-620-5507
Fax Number
602-491-2677
Provider Enumeration Date
04/29/2017
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
277387 05 AZ
institution
Provider Business Practice Location Address Details
Address
4802 E Ray Rd Ste 23-266
City
State
Zip
85044-6405
Phone Number
602-620-5507
Fax Number
602-491-2677
person
Provider Business Mailing Address Details
Address
4802 E Ray Rd Ste 23-266
City
State
Zip
85044-6405
Phone Number
602-620-5507
Fax Number
602-491-2677
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401013734 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC16755 (Arizona)
Definition
Definition to come...
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