Individual provider · Type 1 NPI

Miranda Mitchell

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1275474728 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Fax (541) 440-3554

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275474728

Miranda Mitchell's National Provider Identifier is 1275474728, issued on Apr 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Apr 1, 2026.