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NPI Code Detail

MEDICARE: ASHLEY RAE ROBERTS MITCHELL LPCC

MEDICARE: ASHLEY RAE ROBERTS MITCHELL LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor00980MN

General Provider Information

NPI Number : 1679020697
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY RAE ROBERTS MITCHELL LPCC
Provider Business Mailing Address
First Line : 14665 GALAXIE AVE STE 140
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-4509
Country : US
Telephone Number : 651-456-8494
Fax Number :
Provider Business Practice Location Address
First Line : 14665 GALAXIE AVE STE 140
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-4509
Country : US
Telephone Number : 651-456-8494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 04/22/2026

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Directions to “ ASHLEY RAE ROBERTS MITCHELL LPCC” Practice Location

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