Mitchell, Reggie

Mitchell, Reggie is an individual health care provider with primary practice located at 15519 Crenshaw Blvd , Gardena CA 90249-4525. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Mitchell, Reggie can be contacted via phone (310) 679-9031.

Contact Information

Primary practice address
15519 Crenshaw Blvd Gardena CA 90249-4525
Phone: (310) 679-9031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AII3551214 California

Profile Details

NPI number 1669695862
LBN Legal business name Mitchell, Reggie
Credentials CADC 2-CA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Dec 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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