| Christina M Mitcham Pllc | |
|
1749 Hamilton Rd Suite 203 Okemos MI 48864 | |
| (517) 331-9099 | |
| (517) 993-5713 |
| Full Name | Christina M Mitcham Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1749 Hamilton Rd, Okemos, Michigan |
| Authorized Official Name and Position | Christina M Mitcham (PSYCHOTHERAPIST / OWNER) |
| Authorized Official Contact | 6167062725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina M Mitcham Pllc 1749 Hamilton Rd Suite 203 Okemos MI 48864 Ph: (517) 331-9099 | Christina M Mitcham Pllc 1749 Hamilton Rd Suite 203 Okemos MI 48864 Ph: (517) 331-9099 |
| NPI Number | 1780129833 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 08/13/2021 |
| Certification Date | 08/13/2021 |
| Medicare PECOS PAC ID | 1658654314 |
|---|---|
| Medicare Enrollment ID | O20170203002006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780129833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801088032 (Michigan) | Primary |
| Provider Name | Christina M Mitcham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285939934 PECOS PAC ID: 5991935421 Enrollment ID: I20140303001430 |
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