Individual
MR. JOHN ARTHUR MITCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-6320
(401) 276-4124
Mailing address
45 BATCHELLER AVE, PROVIDENCE, RI 02904-1508
(401) 286-8206
(401) 276-4142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00793
RI
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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