Individual
CHARLEEN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
103 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
Mailing address
35 N HULL ST, EAST PROVIDENCE, RI 02914-2630
(401) 306-1499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
201588
RI
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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