Individual
MALCOLM MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 TIPPERARY LOOP, DELAWARE, OH 43015-1678
(614) 905-1308
Mailing address
314 TIPPERARY LOOP, DELAWARE, OH 43015-1678
(614) 905-1308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
10/15/2024
Last updated
11/29/2025
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