Individual
TOIE LAMONT MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 W STROOP RD, DAYTON, OH 45439-2041
(937) 313-6606
Mailing address
4525 EICHELBERGER AVE, DAYTON, OH 45406-2429
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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