Organization
BEHAVIOR MATTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAVERNIE V. MITCHELL LCSW (PSYCHIATRIC SOCIAL WORKER)
(909) 424-4654
Entity
Organization
Contact information
Practice address
3634 ELIZABETH ST, RIVERSIDE, CA 92506-2506
(909) 424-4654
Mailing address
2161 SAINT LAWRENCE STREET, RIVERSIDE, CA 92504
(909) 424-4654
(909) 784-5044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS18030
CA
Other
Enumeration date
01/31/2007
Last updated
07/01/2008
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