Doctor Name: | MS. MARIA JOAN PATRICIA MITCHELL |
NPI Number: | 1013104785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C006094 |
Business Practice Address: | 1320 Se Maynard Rd Suite 101 Cary, NC - 275113625 |
Business Phone Number: | 9193023745 |
Business Fax Number: | |
Mailing Address: | 2234 Preston Grove Ave, CARY |
State: | NC |
Postal Code: | 275138474 |
Phone Number: | 6177772076 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2007 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C006094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |