Individual
MITCHELL TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
205 COUNTY ROAD 134, BREMEN, AL 35033-3061
(205) 876-6028
(205) 668-0894
Mailing address
205 COUNTY ROAD 134, BREMEN, AL 35033-3061
(205) 876-6028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3601C
AL
Other
Enumeration date
08/21/2014
Last updated
02/15/2022
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