Individual
BERNARD MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
2488 GRAND CONCOURSE RM 417, BRONX, NY 10458-5206
(718) 584-7204
Mailing address
2488 GRAND CONCOURSE RM 417, BRONX, NY 10458-5206
(718) 584-7204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34126
NY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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