Individual
MR. MITCHELL RALPH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1014 BAY STREET, SUITE 24, PORT ORCHARD, WA 98366
(360) 452-4432
Mailing address
1014 BAY STREET, SUITE 24, PORT ORCHARD, WA 98366
(360) 602-0022
(360) 335-6432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60099064
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
RC00059266
WA
Other
Enumeration date
04/11/2008
Last updated
08/15/2014
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