Rama Mitchell JR., SUDP
NPI #1609266717 in Kelso, Washington
Provider Information
- NPI Number
- 1609266717
- Entity Type
- Individual
- Name
- Rama Mitchell JR., SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP
- Enumeration Date
- Jan 27, 2015
- Last Updated
- Mar 22, 2024
Practice Location
- Address
- 621 GRADE ST
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-2606
- Phone
- (360) 425-9210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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