NPI 1033395876

Jill Mitchell, PHD

Practitioner Marriage & Family Therapist Eagle, ID

Practice location

Address: 1159 E Iron Eagle Dr Suite 170-F, Eagle, ID 83616-6871
Phone: (208) 939-0338
Fax: (208) 321-4130

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LMFT-12 (ID)

Other Marriage & Family Therapist providers in Idaho →

Registry record

NPI: 1033395876
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2008
Record last updated: 10 Jan 2008

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.