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

Mr. Mitchell R Cohen, SAC-IT, PCTL

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922448885

Mr. Mitchell R Cohen, SAC-IT, PCTL is an Addiction (Substance Use Disorder) Counselor in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2013
Specialties on file
3

Practice location Address checks out

500 W Silver Spring Dr Ste 200
Glendale, WI 53217-5051
Phone: (414) 847-6253
Fax: (414) 501-2361
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1858-226 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 16612-130 (WI)
Pastoral Counselor Taxonomy 101YP1600X

Record details

NPI number1922448885
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT , PCTL
Sole proprietorYes
NPI enumeratedJune 25, 2013
Last updated in NPPESJune 25, 2014

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