IndividualActive
Charles Mitchell, LCDP
NPI 1689199143 · Addiction (Substance Use Disorder) Counselor · Providence, RI
Provider details
- NPI number
- 1689199143
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDP
- Sex
- Male
- Sole proprietor
- No
- License
- CDP00719 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone: (800) 892-2695
Approximate (ZIP-level) locationGet directions
Mailing address
2960 Camino Diablo Ste 105
Walnut Creek, CA 94597-3945
Registry dates
- Enumerated
- 2017-08-07
- Last updated
- 2022-11-21
- Certified
- 2022-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.