Individual
CHRISTIAN JAMES MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24100 CHAGRIN BLVD, BEACHWOOD, OH 44122-5535
(800) 642-4560
Mailing address
3791 COVINGTON RD, SOUTH EUCLID, OH 44121-1901
(216) 798-5340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2207257
OH
Other
Enumeration date
08/25/2020
Last updated
01/26/2022
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