person
Mr. Stephen Waller Mitchell, MA
Mental Health Counselor in Fairbanks, Alaska
NPI 1922255462

Stephen Waller Mitchell is a Mental Health Counselor based in Fairbanks, AK and is specialized in Mental Health. Stephen Waller Mitchell practices in Fairbanks, AK and has the professional credentials of MA. The NPI Number for Stephen Waller Mitchell is 1922255462 and holds a License No. (Alaska).

The current practice location address for Stephen Waller Mitchell is 3830 S Cushman St, Fairbanks, AK and can be reached out via phone at 907-452-1575 and via fax at 907-455-5255.

Location: 3830 S Cushman St, Fairbanks, AK, 99701-7530
person
Provider Profile Details
NPI Number
1922255462
Provider Name
Stephen Waller Mitchell
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
3830 S Cushman St, Fairbanks, AK, 99701-7530
Phone Number
907-452-1575
Fax Number
907-455-5255
Provider Enumeration Date
08/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH0157 05 AK
institution
Provider Business Practice Location Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
907-455-5255
person
Provider Business Mailing Address Details
Address
3830 S Cushman St
City
State
Zip
99701-7530
Phone Number
907-452-1575
Fax Number
907-455-5255
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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