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NPI Profile for Dr JESSE R MITCHELL in HAMILTON, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1356788913 |
|
| Status | Active | |
| Credentials | BCPPC, DIV, PHD | |
| Entity | Individual | |
| Enumeration date | 05/22/2013 | |
| Last updated | 05/30/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JESSE R MITCHELL
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JESSE R MITCHELL, BCPPC, DIV, PHD