Individual provider · Type 1 NPI
Tyler Issac Mitchell, CDCA1
Addiction (Substance Use Disorder) Counselor · Cincinnati, OH
NPI number
1730729369
Active
Practice location
1978 Garden Ln Apt 3
Cincinnati, OH 45237-6045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA1170914 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730729369
Tyler Issac Mitchell, CDCA1's National Provider Identifier is 1730729369, issued on Jan 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cincinnati, OH. The record was last updated on Jan 12, 2020.