Mitchell, Constance

Mitchell, Constance is an individual health care provider with primary practice located at 2112 Langdon Rd , Raleigh NC 27604-3616. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mitchell, Constance can be contacted via phone (919) 889-2868.

Contact Information

Primary practice address
2112 Langdon Rd Raleigh NC 27604-3616
Phone: (919) 889-2868
Fax: (919) 954-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 3458 North Carolina

Profile Details

NPI number 1669522306
LBN Legal business name Mitchell, Constance
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2009 - about 15 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 1669522306 NPPES
North Carolina MEDICAID 6102601

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