Individual
MR. PHILIP S. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
5345 CROSSROADS DRIVE, ACWORTH, GA 30102-2536
(678) 391-5950
(678) 391-5969
Mailing address
P.O. BOX 2699, WOODSTOCK, GA 30188-1384
(678) 391-5950
(678) 391-5969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Enumeration date
10/30/2012
Last updated
11/06/2015
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