Individual
DELIA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9623
(812) 256-4686
Mailing address
642 S 2ND ST, T-402, LOUISVILLE, KY 40202-2433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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