Individual provider · Type 1 NPI

Reggie Mitchell, CADC 2-CA

Addiction (Substance Use Disorder) Counselor · Gardena, CA

NPI number 1669695862 Active

Practice location

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Mailing address

202 W. 71st Street
Los Angeles, CA 90003

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Counselor 225C00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAII3551214 (CA)

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

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About NPI 1669695862

Reggie Mitchell, CADC 2-CA's National Provider Identifier is 1669695862, issued on Apr 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gardena, CA. The record was last updated on Dec 18, 2019.