IndividualActive
Koshon Mitchell
NPI 1184569402 · Pastoral Counselor · Graniteville, SC
Provider details
- NPI number
- 1184569402
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
1040 Hayes Dr
Graniteville, SC 29829-3856
Phone: (843) 302-9947
Approximate (ZIP-level) locationGet directions
Mailing address
1040 Hayes Dr
Graniteville, SC 29829-3856
Registry dates
- Enumerated
- 2026-04-22
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.