Individual provider · Type 1 NPI
Mitchell Allen Bousson Jr.
Psychiatric/Mental Health Registered Nurse · Modesto, CA
NPI number
1710748488
Active
Practice location
500 N 9th St
Modesto, CA 95350-5814
Mailing address
900 N 9th St
Modesto, CA 95350-4723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95273030 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
40 other providers at this address
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- Christine Decker-CallisonMental Health Counselor Modesto, CA NPI 1558691196
- Cordia A. LehnSocial Worker Modesto, CA NPI 1023346608
- Denise M. ThomasonSpecialist Modesto, CA NPI 1003057175
- Elizabeth Frances Rose, REGISTERED NURSEPsychiatric/Mental Health Registered Nurse Modesto, CA NPI 1528825916
- Glenn Eliot Lapp, PhDClinical Psychologist Modesto, CA NPI 1689725509
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- Tiffany Elizabeth Ramirez, REGISTERED NURSEPsychiatric/Mental Health Registered Nurse Modesto, CA NPI 1104601509
- Melissa Alane Sanchez, RNPsychiatric/Mental Health Registered Nurse Modesto, CA NPI 1104946946
- Melissa Sue Valenzuela, RNPsychiatric/Mental Health Registered Nurse Modesto, CA NPI 1215150032
About NPI 1710748488
Mitchell Allen Bousson Jr.'s National Provider Identifier is 1710748488, issued on Jan 19, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Modesto, CA. The record was last updated on Jan 19, 2024.