Individual
MR. DORIAN JAMES MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LBS
Contact information
Practice address
12 BALA AVE APT 2, BALA CYNWYD, PA 19004-3163
(484) 410-6803
(610) 672-9629
Mailing address
12 BALA AVE APT 2, BALA CYNWYD, PA 19004-3163
(484) 410-6803
(610) 672-9629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
BH002112
PA
Other
Enumeration date
10/08/2010
Last updated
06/06/2023
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