Provider Demographics
NPI:1881053007
Name:MITCHELL, REBECCA (LPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1386 JERSEY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CONFLUENCE
Mailing Address - State:PA
Mailing Address - Zip Code:15424-2567
Mailing Address - Country:US
Mailing Address - Phone:724-322-1644
Mailing Address - Fax:724-814-3287
Practice Address - Street 1:280 W HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1312
Practice Address - Country:US
Practice Address - Phone:724-322-1644
Practice Address - Fax:724-814-3287
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health