Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 37PC00190200 | NJ |
N | 225C00000X | Rehabilitation Counselor | 37RC00250900 | NJ |
NPI | 1083792394 |
---|---|
Provider Name | Delbrah R Mitchell |
First Address | Piscataway, NJ 08854-5627 |
Second Address | Piscataway, NJ 08854-5627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |