Provider Demographics
NPI:1134433774
Name:MITCHELL, MORGAN M (MA, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:M
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 36TH STREET #334
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6580
Mailing Address - Country:US
Mailing Address - Phone:360-319-8211
Mailing Address - Fax:360-656-5058
Practice Address - Street 1:336 36TH STREET #334
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-6580
Practice Address - Country:US
Practice Address - Phone:360-319-8211
Practice Address - Fax:360-656-5058
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60160694101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMC60160694OtherWA STATE LICENSE