Individual provider · Type 1 NPI

Russell George Mitchell

Professional Counselor · Center Line, MI

NPI number 1801092762 Active

Practice location

26522 Van Dyke Ave
Center Line, MI 48015-1221

Call (586) 759-4400 Map

Mailing address

6549 Town Center Dr, Ste. A
Clarkston, MI 48346-4824

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X6802073208 (MI)
Professional Counselor Primary 101YP2500X6401012311 (MI)

Professional Counselor: Definition to come...

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About NPI 1801092762

Russell George Mitchell's National Provider Identifier is 1801092762, issued on Jun 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Center Line, MI. The record was last updated on Nov 17, 2016.