Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Bruno- Frederiksen

Individual provider Peer Specialist · NPI 1811685464

Mitchell Bruno- Frederiksen is a Peer Specialist in Coventry Township, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

648 Cove Blvd
Coventry Township, OH 44319-1042
Phone: (330) 553-4584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1811685464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address648 Cove Blvd, Coventry Township, OH 44319-1042

Other providers in Coventry Township