| Rama Mitchell Jr, SUDP | |
|
621 Grade St, Kelso, WA 98626-2606 | |
| (360) 425-9210 | |
| (360) 501-6131 |
| Full Name | Rama Mitchell Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 621 Grade St, Kelso, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609266717 | NPI | - | NPPES |
| 2087502 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00004525 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rama Mitchell Jr, SUDP 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 425-9210 | Rama Mitchell Jr, SUDP 621 Grade St, Kelso, WA 98626-2606 Ph: (360) 425-9210 |
Ariel Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Ms. Rene Kerry Bohannon-oxford, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Pacific Ave North, Kelso, WA 98626 Phone: 360-261-8467 Fax: 360-414-8906 | |
Raven Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: P.o Box 1062, Kelso, WA 98632 Phone: 360-423-0203 | |
Kenneth Case, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 | |
Kimberly Michelle Anderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1710 Allen St, Kelso, WA 98626 Phone: 360-261-7020 | |
Cathy Ludahl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Deborah Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Grade St, Kelso, WA 98626 Phone: 360-425-5855 |