Individual
DR. JEAN-MARIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3252 W MARCH LN, STOCKTON, CA 95219-2341
(808) 339-0579
Mailing address
4719 QUAIL LAKES DR STE G442, STOCKTON, CA 95207-8140
(808) 339-0579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41328
COUNTY ID
CA
Enumeration date
11/08/2006
Last updated
08/09/2022
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