Individual
ANITA EVETTE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3734 W WISCONSIN AVE, MILWAUKEE, WI 53208-3153
(414) 290-0473
(414) 226-0351
Mailing address
3018 N 60TH ST, MILWAUKEE, WI 53210-1403
(414) 902-0875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20347-130
WI
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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