Individual provider · Type 1 NPI

Larry Mitchell, MA CAADC SPADA

Addiction (Substance Use Disorder) Counselor · Grand Rapids, MI

NPI number 1649779927 Active

Practice location

1960 Millbrook St SE
Grand Rapids, MI 49508-2636

Call (616) 633-3700 Map

Fax (616) 930-4640

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC-00112 (MI)

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

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About NPI 1649779927

Larry Mitchell, MA CAADC SPADA's National Provider Identifier is 1649779927, issued on Feb 1, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 1, 2018.