Individual
LANCE EDWARD MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106393 HAPPY TRAILS RD, MCLOUD, OK 74851-5106
(916) 524-9564
Mailing address
106393 HAPPY TRAILS RD, MCLOUD, OK 74851-5106
(916) 524-9564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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