Individual provider · Type 1 NPI
Charles Mitchell, LCDP
Addiction (Substance Use Disorder) Counselor · Providence, RI
NPI number
1689199143
Active
Practice location
10 Dorrance St Ste 700
Providence, RI 02903-2014
Mailing address
2960 Camino Diablo Ste 105
Walnut Creek, CA 94597-3945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDP00719 (RI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689199143
Charles Mitchell, LCDP's National Provider Identifier is 1689199143, issued on Aug 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Nov 21, 2022.