Individual
MR. ZACHARY WADE MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
1514 KANAWHA BLVD W, CHARLESTON, WV 25387-2533
(304) 646-9018
(304) 768-7647
Mailing address
1514 KANAWHA BLVD W, ATTN ZACK MITCHEM, CHARLESTON, WV 25387-2533
(304) 646-9018
(304) 768-7647
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-902SUD
WV
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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