Individual
ALICIA M. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
I.M.F.
Contact information
Practice address
107 E MICHELTORENA ST, PHOENIX OF SANTA BARBARA, SANTA BARBARA, CA 93101-1905
(805) 563-1916
Mailing address
3570 MODOC RD, NO.17, SANTA BARBARA, CA 93105-4548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMF47959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMF47959
BBS REG NUMBER
CA
Enumeration date
12/20/2006
Last updated
07/08/2007
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