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Mr. Travis A Mitchell SR., PHYSICOLOGIST
Addiction (Substance Use Disorder) Psychologist in Saint Louis, Missouri
NPI 1750655890

Travis A Mitchell SR. is an Addiction (Substance Use Disorder) Psychologist based in Saint Louis, MO and is specialized in Addiction (Substance Use Disorder). Travis A Mitchell SR. practices in Saint Louis, MO and has the professional credentials of PHYSICOLOGIST. The NPI Number for Travis A Mitchell SR. is 1750655890 and holds a License No. 4718 (Missouri).

The current practice location address for Travis A Mitchell SR. is 8759 Annetta Ave, Saint Louis, MO and can be reached out via phone at 314-381-4225 and via fax at 314-381-4225.

Location: 8759 Annetta Ave, Saint Louis, MO, 63147-1602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750655890
Provider Name
Travis A Mitchell SR.
Credential
PHYSICOLOGIST
Provider Entity Type
Individual
Gender
Male
Address
8759 Annetta Ave, Saint Louis, MO, 63147-1602
Phone Number
314-381-4225
Fax Number
314-381-4225
Provider Enumeration Date
03/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8759 Annetta Ave
City
Saint Louis
State
Missouri
Zip
63147-1602
Phone Number
314-381-4225
Fax Number
314-381-4225
person
Provider Business Mailing Address Details
Address
8759 Annetta Ave
City
Saint Louis
State
Missouri
Zip
63147-1602
Phone Number
314-381-4225
Fax Number
314-381-4225
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
103 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
4718 (Missouri)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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