Individual
BRIAN MILTON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1848 WILLOW PASS RD STE 207, CONCORD, CA 94520-2542
(530) 362-8292
Mailing address
24077 STATE HIGHWAY 49, NEVADA CITY, CA 95959-8519
(530) 265-9057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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