JEFFREY LANE MITCHELL

SEATTLE, WA
NPI1689143836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP00002941)
Enumeration Date2018-11-16
Last Update Date2018-11-16
Business Address
JEFFREY LANE MITCHELL CP00002941
611 12TH AVE S
SEATTLE, WA 98144-2007
Phone number: 206-834-4029
Mailing Address
JEFFREY LANE MITCHELL CP00002941
611 12TH AVE S
SEATTLE, WA 98144-2007
Phone number: 206-834-4029
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