Individual
CHARLES MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(800) 892-2695
Mailing address
2960 CAMINO DIABLO STE 105, WALNUT CREEK, CA 94597-3945
(800) 892-2695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00719
RI
Other
Enumeration date
08/07/2017
Last updated
11/21/2022
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