Individual
TAYLOR MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RYT
Contact information
Practice address
2801 OLD GREENWOOD RD, SUITE 11, FORT SMITH, AR 72903-4547
(479) 755-4120
Mailing address
2801 OLD GREENWOOD RD, SUITE 11, FORT SMITH, AR 72903-4547
(479) 755-4120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
026
AR
171W00000X
Contractor
Primary
140495
AR
Other
Enumeration date
10/05/2015
Last updated
10/08/2015
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