Mitchell, Jacquelyn Irene

Mitchell, Jacquelyn Irene is an sole proprietor health care provider with primary practice located at 3049 Darlene Ln , Modesto CA 95355-4157. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Mitchell, Jacquelyn Irene can be contacted via phone (209) 535-1997.

Contact Information

Primary practice address
3049 Darlene Ln Modesto CA 95355-4157
Phone: (209) 535-1997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF 56335 California

Profile Details

NPI number 1750620902
LBN Legal business name Mitchell, Jacquelyn Irene
Credentials MFTI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2013
Last updated Feb 7th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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