| Doctor Name: | MRS. KATHLEEN MITCHELL |
| NPI Number: | 1043474406 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | 2008011256 |
| Business Practice Address: | 10024 Office Center Ave Ste 100 Saint Louis, MO - 631281381 |
| Business Phone Number: | 3147297050 |
| Business Fax Number: | 3147290920 |
| Mailing Address: | 900 E. La Harpe St, KIRKSVILLE |
| State: | MO |
| Postal Code: | 635014520 |
| Phone Number: | 6606651962 |
| Fax Number: | 6606653989 |
| NPI Enumeration Date: | 07/15/2008 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2008011256 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |