RUSSELL GEORGE MITCHELL

CENTER LINE, MI
NPI1801092762
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401012311)
Additional Taxonomies104100000X Social Worker
(Licence: MI  6802073208)
Enumeration Date2007-06-26
Last Update Date2016-11-17
Business Address
-- RUSSELL GEORGE MITCHELL
26522 VAN DYKE AVE
CENTER LINE, MI 48015-1221
Phone number: 586-759-4400
Mailing Address
-- RUSSELL GEORGE MITCHELL
6549 TOWN CENTER DR STE. A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400