Individual provider · Type 1 NPI

Rose Mitchell, LCSW

Professional Counselor · Modesto, CA

NPI number 1689706889 Active

Practice location

251 E Hackett Rd
Modesto, CA 95358-9415

Fax (209) 558-1075

Mailing address

1712 Groveton Way
Modesto, CA 95355-1904

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCS18764 (CA)

Professional Counselor: Definition to come...

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About NPI 1689706889

Rose Mitchell, LCSW's National Provider Identifier is 1689706889, issued on Mar 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.