Provider Demographics
NPI:1851372338
Name:MITCHELL, JENNIFER S (LMHC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:S
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:S
Other - Last Name:SHELDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:119 E CENTER ST
Mailing Address - Street 2:SUITE B6
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-2852
Mailing Address - Country:US
Mailing Address - Phone:574-267-7890
Mailing Address - Fax:574-267-7890
Practice Address - Street 1:119 E CENTER ST
Practice Address - Street 2:SUITE B6
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-2852
Practice Address - Country:US
Practice Address - Phone:574-267-7890
Practice Address - Fax:574-267-7890
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001513A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health