Individual
CORY LEVI MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11601 W STANLEY DRAPER DR, OKLAHOMA CITY, OK 73165-6503
(580) 334-3513
Mailing address
11601 W STANLEY DRAPER DR, OKLAHOMA CITY, OK 73165-6503
(580) 334-3513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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