Provider Demographics
NPI:1578963369
Name:MITCHUM, JAMES AARON (LCPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:AARON
Last Name:MITCHUM
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7923 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3644
Mailing Address - Country:US
Mailing Address - Phone:913-294-7769
Mailing Address - Fax:
Practice Address - Street 1:7923 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204
Practice Address - Country:US
Practice Address - Phone:913-294-7769
Practice Address - Fax:844-364-0156
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2665101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional