NPI 1003248691

Kelly D Mitchell, LCDC

Practitioner Addiction (Substance Use Disorder) Counselor San Antonio, TX

Practice location

Address: 3031 W Ih 10, San Antonio, TX 78201-5159
Phone: (210) 261-1024
Fax: (210) 738-8025

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 12125 (TX)

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Registry record

NPI: 1003248691
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2013
Record last updated: 6 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.