Individual provider · Type 1 NPI

John Davone Mixon Sr.

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1861977134 Active

Practice location

7240 E Southgate Dr Ste G
Sacramento, CA 95823-2627

Call (916) 391-4293 Map

Fax (916) 391-4247

Mailing address

7441 Power Inn Rd Apt B
Sacramento, CA 95828-4478

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861977134

John Davone Mixon Sr.'s National Provider Identifier is 1861977134, issued on Oct 2, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Sep 8, 2022.