Individual
MR. MITCHELL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
508 EASTWAY DR, CHARLOTTE, NC 28205-1421
(704) 248-0246
Mailing address
1151 KURT CT, CHARLOTTE, NC 28209-2806
(704) 965-6300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-1600590
—
NC
Enumeration date
07/14/2022
Last updated
07/14/2022
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