Individual
RUTH ELAINE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC 2
Contact information
Practice address
1651 METROPOLITAN AVE APT 2A, BRONX, NY 10462-6287
(917) 756-8136
Mailing address
1651 METROPOLITAN AVE APT 2A, BRONX, NY 10462-6287
(917) 756-8136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24096
NY
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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