Most Relevant Information
Provider Data
| NPI Number: | 1003441767 |
| Provider Name: | JAMES MITCHELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 20517 |
Most Important Dates
| Enumeration Date: | 03/03/2020 |
| Last Updated: | 03/03/2020 |
Provider Practice Location
3044 CONEY ISLAND AVE STE 3
BROOKLYN
NY
112355224
Practice Location Phone/Fax
| Phone: | 7182654200 |
| Fax: |
Provider Mailing Location
3044 CONEY ISLAND AVE STE 3
BROOKLYN
NY
112355224
Provider Mailing Phone/Fax
| Phone: | 7182654200 |
| Fax: |