VINCE PHILLIP MITCHELL

BAKER CITY, OR
NPI1760136972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  T-21-1328)
Enumeration Date2022-02-07
Last Update Date2022-02-07
Business Address
VINCE PHILLIP MITCHELL
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
Mailing Address
VINCE PHILLIP MITCHELL
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400