Individual provider · Type 1 NPI

Lisa Renae Mitchell

Mental Health Counselor · Dixon, IL

NPI number 1740760859 Active

Practice location

322 Depot Ave
Dixon, IL 61021-2850

Mailing address

325 Il Route 2
Dixon, IL 61021-9118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740760859

Lisa Renae Mitchell's National Provider Identifier is 1740760859, issued on Aug 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Aug 17, 2018.