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Individual

TOIE LAMONT MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170523
OH
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
APS.001293
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0349596
OH
Enumeration date
05/15/2019
Last updated
12/01/2022
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