Individual provider · Type 1 NPI

Nicole J. Mitchell

Addiction (Substance Use Disorder) Counselor · Ceres, CA

NPI number 1326627308 Active

Practice location

1904 Richland Ave
Ceres, CA 95307-4562

Mailing address

121 Downey Ave
Modesto, CA 95354-1208

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Technician 374700000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1326627308

Nicole J. Mitchell's National Provider Identifier is 1326627308, issued on Apr 6, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ceres, CA. The record was last updated on Jul 24, 2024.