Individual
MRS. ANGELA LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP, R-AAC
Contact information
Practice address
900 FIR ST, LONGVIEW, WA 98632-2544
(360) 575-3316
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 355-9440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61293374
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60983348
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126014
—
WA
Enumeration date
02/08/2018
Last updated
02/12/2025
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