Individual
DEBORAH L MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-0722
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168435
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/28/2017
Last updated
10/30/2018
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