Provider Demographics
NPI:1073344909
Name:MITCHELL, ERIN ELIZABETH (LPC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ELIZABETH
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 1:4447 NW HONEYSUCKLE DR
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3356
Mailing Address - Country:US
Mailing Address - Phone:503-544-2013
Mailing Address - Fax:
Practice Address - Street 1:ERIN MITCHELL
Practice Address - Street 2:980 NW SPRUCE AVE
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330
Practice Address - Country:US
Practice Address - Phone:503-544-2013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC8642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health