Provider Demographics
NPI:1386751717
Name:MITCHELL, DAVID W (LMHC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 VAN GIESEN ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-4932
Mailing Address - Country:US
Mailing Address - Phone:509-942-0443
Mailing Address - Fax:509-942-0310
Practice Address - Street 1:2815 VAN GIESEN ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-4932
Practice Address - Country:US
Practice Address - Phone:509-942-0443
Practice Address - Fax:509-942-0310
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004762101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health