Individual provider · Type 1 NPI

Jimmy Dion Mitchell Jr.

Addiction (Substance Use Disorder) Counselor · Wilmington, CA

NPI number 1730814807 Active

Practice location

1322 N Avalon Blvd
Wilmington, CA 90744-2639

Fax (310) 513-1311

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1481630922 (CA)

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

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About NPI 1730814807

Jimmy Dion Mitchell Jr.'s National Provider Identifier is 1730814807, issued on Jul 21, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, CA. The record was last updated on Sep 13, 2022.