Individual provider · Type 1 NPI

Nicole Mitchell

Professional Counselor · Belleville, IL

NPI number 1073102877 Active

Practice location

1624 Carlyle Ave Ste 543
Belleville, IL 62221-4558

Call (618) 731-6923 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.015247 (IL)

Professional Counselor: Definition to come...

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About NPI 1073102877

Nicole Mitchell's National Provider Identifier is 1073102877, issued on Jan 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Belleville, IL. The record was last updated on Sep 30, 2026.