Individual
MS. ROSE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
251 E HACKETT RD, MODESTO, CA 95358-9415
(209) 558-2848
(209) 558-1075
Mailing address
1712 GROVETON WAY, MODESTO, CA 95355-1904
(209) 558-2848
(209) 558-1075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCS18764
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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