Individual
MRS. CHARON STEPHAINE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15405 LANSDOWNE RD STE D, TUSTIN, CA 92782-0201
(714) 429-6834
Mailing address
15405 LANSDOWNE RD STE D, TUSTIN, CA 92782-0201
(714) 429-6834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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