Mitchell, Caleb Charles

Mitchell, Caleb Charles is an individual health care provider with primary practice located at 810 N 6Th Ave , Phoenix AZ 85003-1318. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mitchell, Caleb Charles can be contacted via phone (623) 295-9448.

Contact Information

Primary practice address
810 N 6Th Ave Phoenix AZ 85003-1318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00011018 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-12366 Arizona

Profile Details

NPI number 1497894653
LBN Legal business name Mitchell, Caleb Charles
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497894653 NPPES
Washington Other LH00011018 MENTAL HEALTH COUNSELOR
Washington Other LPC-12366 MENTAL HEALTH COUNSELOR

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