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Individual
MICHAEL EARL MITCHAM
Active
Individual
MICHAEL EARL MITCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001039
CO
101YP2500X
Professional Counselor
Primary
LPC.0015197
CO
Other
Enumeration date
11/03/2015
Last updated
02/07/2019
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