Individual
MICHAEL PRICE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II, QMHA
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Mailing address
PO BOX 17818, SALEM, OR 97305-7818
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC II 96-10-145
OR
101YM0800X
Mental Health Counselor
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Other
Enumeration date
12/13/2010
Last updated
07/09/2015
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