Individual
ROXANNE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
147990
CA
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/05/2014
Last updated
07/12/2024
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