Kelly D Mitchell
Addiction Counselor (Substance Use Disorder)
3031 W Ih 10
San Antonio
, Texas 78201-5159
Kelly D Mitchell
Addiction Counselor (Substance Use Disorder)
3031 W Ih 10
San Antonio
, Texas 78201-5159
(210) 731-8678
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Kelly D Mitchell
- 3031 W Ih 10
- San Antonio, TX
- Zip : 78201-5159
- Fax : (210) 731-8678
- Phone : (210) 261-1000
Second Address
- Kelly D Mitchell
- 3031 W Ih 10
- San Antonio, TX
- Zip : 78201-5159
- Fax : (210) 738-8025
- Phone : (210) 261-1024
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 12125 | TX |
National Provider Identifier
| NPI | 1003248691 |
|---|---|
| Provider Name | Kelly D Mitchell |
| First Address | San Antonio, TX 78201-5159 |
| Second Address | San Antonio, TX 78201-5159 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2013 |
| Last Update Date | 06/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.