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RAMA MITCHELL JR. SUDP
NPI 1609266717
Counselor - Addiction (Substance Use Disorder) in Kelso, WA

Active since January 27, 2015
621 GRADE ST, KELSO, WA 98626(360) 425-9210(360) 501-6131 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rama Mitchell Jr. Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAMA MITCHELL JR. SUDP (NPI 1609266717) is an individual addiction (substance use disorder) provider in Kelso, Washington, licensed in Washington (CP00004525) and active in the NPI registry since January 2015. He maintains a secondary practice location in Castle Rock.

NPPES Registry Identity

NPI1609266717
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRAMA MITCHELL JR.Credential: SUDP
Location Address621 GRADE STKelso, WA 98626-2606
Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 425-9210 · Fax (360) 501-6131
Phone(360) 425-9210
Fax(360) 501-6131
Sole ProprietorNo
Enumeration DateJanuary 27, 2015
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1609266717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00004525
621 GRADE ST, Kelso, WA 98626
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Secondary Practice Location 1

Location 12232 S Silver Lake RdCastle Rock, WA 98611-8021 · Phone (360) 274-3262 · Fax (360) 274-3345

Other Identifiers 1

Medicaid2087502WA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH SMITH
Counselor (Addiction (Substance Use Disorder))
621 GRADE ST
KELSO, WA 98626
Cowlitz County (360) 425-5855
COWLITZ FAMILY HEALTH CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
621 GRADE ST
KELSO, WA 98626
Cowlitz County (360) 636-3892
MICHELLE BUCKHOLZ SUDP
Counselor (Addiction (Substance Use Disorder))
621 GRADE ST
KELSO, WA 98626
Cowlitz County (360) 425-9210
GREGORY ERNEST ERBES SUDP
Counselor (Addiction (Substance Use Disorder))
621 GRADE ST
KELSO, WA 98626
Cowlitz County (360) 425-9210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rama Mitchell's NPI number?

The NPI number for Rama Mitchell is 1609266717. It was assigned to this individual provider in the NPPES registry on January 27, 2015.

Where is Rama Mitchell located?

Rama Mitchell practices at 621 Grade St, Kelso, WA 98626. The listed phone number is (360) 425-9210.

What is Rama Mitchell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rama Mitchell was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.