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General NPI Number Information
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NPI Number | 1255993192
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Entity Type | Individual
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Provider Name | CHELSEA RAE MITCHELL LPC
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Gender | Female
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 21606 IVORY GATE LN
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City | KATY
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State | TX
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Zip | 77449
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Country | US
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Telephone | 225-892-2793
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Fax |
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Provider Business Mailing Address
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Address Line | 21606 IVORY GATE LN
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City | KATY
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State | TX
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Zip | 77449-6795
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Country | US
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Telephone | 225-892-2793
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 94855
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License Number State | TX
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