Individual
MRS. REVA D. MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 8TH ST, PORT HURON, MI 48060-5804
(810) 987-1258
(810) 987-3505
Mailing address
1406 8TH ST, PORT HURON, MI 48060-5804
(810) 987-1258
(810) 987-3505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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