| NPI | 1649779927 |
|---|---|
| Professional Name | LARRY MITCHELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-00112) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |