Individual provider · Type 1 NPI

Michael Tyrone Mouton

Mental Health Counselor · San Mateo, CA

NPI number 1427309574 Active

Practice location

225 37th Ave Fl 3
San Mateo, CA 94403-4324

Call (650) 573-2639 Map

Mailing address

3490 The Alameda
Santa Clara, CA 95050-4333

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1427309574

Michael Tyrone Mouton's National Provider Identifier is 1427309574, issued on Sep 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Mateo, CA. The record was last updated on Sep 29, 2016.