Individual provider · Type 1 NPI

Mitchell R. Cohen, SAC-IT, PCTL

Mental Health Counselor · Glendale, WI

NPI number 1922448885 Active

Practice location

500 W Silver Spring Dr, Suite 200
Glendale, WI 53217-5051

Call (414) 847-6253 Map

Fax (414) 501-2361

Mailing address

500 W. Silver Spring Rd, Suite 200
Glendale, WI 53217-4300

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X16612-130 (WI)
Mental Health Counselor Primary 101YM0800X1858-226 (WI)
Pastoral Counselor 101YP1600XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922448885

Mitchell R. Cohen, SAC-IT, PCTL's National Provider Identifier is 1922448885, issued on Jun 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, WI. The record was last updated on Jun 25, 2014.