Linda L Mitchell, MA. LPC CAC1

Individual provider Active NPI Professional Counselor · Port Huron, MI

NPI 1508034299 · NPPES record last updated Feb 14, 2008

Key facts

NPI
1508034299
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401007955 (MI)
Practice address
1001 Military St
Port Huron, MI 48060-5416
Phone
(810) 985-5437
Fax
(810) 985-9011
NPI assigned
Feb 14, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401007955MIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007955 MI Yes

Addresses

Primary practice location

1001 Military St
Port Huron, MI 48060-5416

Mailing address

3798 Casey Rd
Metamora, MI 48455-9317
Phone (810) 796-2064

Other providers in Port Huron, MI

All providers in Port Huron, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.