Individual
BRYAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5810 RALSTON ST FL 2, VENTURA, CA 93003-6010
(805) 642-7033
(805) 642-7732
Mailing address
2137 PASEO GIZSOL, CAMARILLO, CA 93012
(805) 642-7033
(805) 642-7732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X-SPECIALIS
17-OTHER SERVICES
CA
Enumeration date
01/12/2009
Last updated
01/12/2009
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