MS. ROSE MITCHELL LCSW
NPI 1689706889
Counselor - Professional in Modesto, CA
Active since March 12, 2007
About Ms. Rose Mitchell Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ROSE MITCHELL LCSW (NPI 1689706889) is an individual professional provider in Modesto, California, licensed in California (LCS18764) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1689706889
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ROSE MITCHELLCredential: LCSW
Location Address251 E HACKETT RDModesto, CA 95358-9415
Mailing Address1712 Groveton WayModesto, CA 95355-1904 · (209) 558-2848 · Fax (209) 558-1075
Phone(209) 558-2848
Fax(209) 558-1075
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689706889 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LCS18764
251 E HACKETT RD, Modesto, CA 95358
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Marriage & Family Therapist
251 E HACKETT RD
MODESTO, CA 95358
MODESTO, CA 95358
Counselor (Addiction (Substance Use Disorder))
251 E HACKETT RD
MODESTO, CA 95358
MODESTO, CA 95358
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689706889, enumerated as an "individual" on March 12, 2007.
The provider is located at 251 E HACKETT RD MODESTO, CA 95358 and the phone number is (209) 558-2848.
Counselor with taxonomy code 101YP2500X and a focus in Professional.