| Kristi Mitchell Therapy, Llc | |
|
1209 Pleasant Grove Blvd Ste 101 Roseville CA 95678-6971 | |
| (916) 622-2155 | |
| Not Available |
| Full Name | Kristi Mitchell Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1209 Pleasant Grove Blvd Ste 101, Roseville, California |
| Authorized Official Name and Position | Kristi Noel Mitchell (MANAGER) |
| Authorized Official Contact | 9166222155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Mitchell Therapy, Llc 1209 Pleasant Grove Blvd Ste 101 Roseville CA 95678-6971 Ph: (916) 622-2155 | Kristi Mitchell Therapy, Llc 1209 Pleasant Grove Blvd Ste 101 Roseville CA 95678-6971 Ph: (916) 622-2155 |
| NPI Number | 1861239451 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861239451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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