person
Channon Mellisa Mitchell
Addiction (Substance Use Disorder) Counselor in Inglewood, California
NPI 1114696937

Channon Mellisa Mitchell is an Addiction (Substance Use Disorder) Counselor based in Inglewood, CA and is specialized in Addiction (Substance Use Disorder). Channon Mellisa Mitchell practices in Inglewood, CA. The NPI Number for Channon Mellisa Mitchell is 1114696937 and holds a License No. (California).

The current practice location address for Channon Mellisa Mitchell is 145 N Prairie Ave, Inglewood, CA and can be reached out via phone at 310-912-9274 and via fax at 323-545-3156.

Location: 145 N Prairie Ave, Inglewood, CA, 90301-1904
person
Provider Profile Details
NPI Number
1114696937
Provider Name
Channon Mellisa Mitchell
Credential
Provider Entity Type
Individual
Gender
Female
Address
145 N Prairie Ave, Inglewood, CA, 90301-1904
Phone Number
310-912-9274
Fax Number
323-545-3156
Provider Enumeration Date
09/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20202008 05 CA
institution
Provider Business Practice Location Address Details
Address
145 N Prairie Ave
City
State
Zip
90301-1904
Phone Number
310-912-9274
Fax Number
323-545-3156
person
Provider Business Mailing Address Details
Address
145 N Prairie Ave
City
State
Zip
90301-1904
Phone Number
310-912-9274
Fax Number
323-545-3156
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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