Individual provider · Type 1 NPI

Mary Jo Michael

Mental Health Counselor · Richmond, CA

NPI number 1073665154 Active

Practice location

4101 Macdonald Ave
Richmond, CA 94805-2333

Call (510) 412-9200 Map

Fax (510) 412-9248

Mailing address

237 W Chanslor Ave
Richmond, CA 94801-3434

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC34788 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1073665154

Mary Jo Michael's National Provider Identifier is 1073665154, issued on Jan 17, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Jul 8, 2007.