| Doctor Name: | MR. RONALD RENE' MITCHELL |
| NPI Number: | 1124158621 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 0464 |
| Business Practice Address: | 110 Jones Ln Suite A Flowood, MS - 392328899 |
| Business Phone Number: | 6019320074 |
| Business Fax Number: | 6018292588 |
| Mailing Address: | 540 Green Head Cir, BRANDON |
| State: | MS |
| Postal Code: | 390477022 |
| Phone Number: | 6019320074 |
| Fax Number: | 6018292588 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0464 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |