Individual
CASSIUS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 16TH ST, OAKLAND, CA 94612-1520
(510) 357-5515
Mailing address
510 16TH ST, OAKLAND, CA 94612-1520
(510) 357-5515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2007
Last updated
07/24/2015
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