Individual
RUSTON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1101 MEDICAL ARTS AVE NE BLDG 3, ALBUQUERQUE, NM 87102-2706
(505) 842-5300
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09681
NM
Other
Enumeration date
04/30/2014
Last updated
09/26/2024
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