person
Rama Mitchell JR., SUDP
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1609266717

Rama Mitchell JR. is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Rama Mitchell JR. practices in Kelso, WA and has the professional credentials of SUDP. The NPI Number for Rama Mitchell JR. is 1609266717 and holds a License No. CP00004525 (Washington).

The current practice location address for Rama Mitchell JR. is 621 Grade St, Kelso, WA and can be reached out via phone at 360-425-9210 and via fax at 360-501-6131.

Location: 621 Grade St, Kelso, WA, 98632-2509
person
Provider Profile Details
NPI Number
1609266717
Provider Name
Rama Mitchell JR.
Credential
SUDP
Provider Entity Type
Individual
Gender
Male
Address
621 Grade St, Kelso, WA, 98632-2509
Phone Number
360-425-9210
Fax Number
360-501-6131
Provider Enumeration Date
01/27/2015
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2087502 05 WA
institution
Provider Business Practice Location Address Details
Address
621 Grade St
City
State
Zip
98626-2606
Phone Number
360-425-9210
Fax Number
360-501-6131
person
Provider Business Mailing Address Details
Address
621 Grade St
City
State
Zip
98626-2606
Phone Number
360-425-9210
Fax Number
360-501-6131
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00004525 (Washington)
Definition
Definition to come...
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