Provider Demographics
NPI:1255498267
Name:MCFALL, MITCHELL DON (MS, LPC)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:DON
Last Name:MCFALL
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5260 S TANAGER AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLEFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65619-9222
Mailing Address - Country:US
Mailing Address - Phone:417-881-0518
Mailing Address - Fax:417-882-5517
Practice Address - Street 1:1736 E. SUNSHINE
Practice Address - Street 2:SUITE 811
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1334
Practice Address - Country:US
Practice Address - Phone:417-882-4485
Practice Address - Fax:417-882-5517
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001009407101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health