Individual
JARED MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
220
ND
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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