Individual
JEFFREY LANE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP00002941
Contact information
Practice address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 834-4029
(206) 834-4091
Mailing address
611 12TH AVE S, SEATTLE, WA 98144-2007
(206) 834-4029
(206) 834-4091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002941
WA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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