Ms Selena Emily Mitchell, LAC, MFT TRAINEE is a
Student In An Organized Health Care Education/training Program based in Petaluma, California. Ms Selena Emily Mitchell is licensed to practice in California (license number ) and her current practice location is
727 English St, Petaluma, California. She can be reached at her office (for appointments etc.) via phone at
(559) 288-7889.
NPI number for Ms Selena Emily Mitchell is 1023180270 and her current mailing address is Po Box 2132, Petaluma, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023180270.
Healthcare Provider's Profile
| Full Name | Ms Selena Emily Mitchell |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 727 English St, Petaluma, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023180270
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 01/21/2023
Medical Identifiers
Medical identifiers for Ms Selena Emily Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023180270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC6452 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Selena Emily Mitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Selena Emily Mitchell, LAC, MFT TRAINEE
Po Box 2132,
Petaluma, CA 94953-2132
Ph: (415) 936-3900 | Ms Selena Emily Mitchell, LAC, MFT TRAINEE
727 English St,
Petaluma, CA 94952-2425
Ph: (559) 288-7889 |
Reviews and Comments