Individual
ANTHONY MITCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 SAINT NICHOLAS AVE FRNT A, NEW YORK, NY 10032-3809
(212) 543-4445
Mailing address
955 SHERIDAN AVE APT 3E, BRONX, NY 10456-6323
(917) 683-2586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36653
NY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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