Provider Demographics
NPI:1558783472
Name:MITCHELL, LEE ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LEE
Middle Name:ANN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LEE
Other - Middle Name:ANN
Other - Last Name:SKABO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 CORDOVA STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503
Mailing Address - Country:US
Mailing Address - Phone:907-279-9640
Mailing Address - Fax:907-279-5489
Practice Address - Street 1:2600 CORDOVA STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503
Practice Address - Country:US
Practice Address - Phone:907-279-9640
Practice Address - Fax:907-279-5489
Is Sole Proprietor?:No
Enumeration Date:2014-01-12
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK110888101YP2500X, 101YM0800X, 101YP2500X, 101YS0200X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK110888OtherSTATE OF ALASKA BOARD OF PROFESSIONAL COUNSELORS