MEDICARE: MR. TERRY LYNN MITCHELL MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	M0503032055	CA

General Provider Information

NPI Number	:	1548311541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TERRY LYNN MITCHELL MBA

Provider Business Mailing Address
First Line	:	1057 N SHELTER BAY
Second Line	:
City	:	HERCULES
State	:	CA
Zip	:	94547-2609
Country	:	US
Telephone Number	:	510-593-5536
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 PIERCE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-4005
Country	:	US
Telephone Number	:	415-563-8200
Fax Number	:	415-563-5985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1801729728 — NALA NICOLE GARCIA
Practice Location Address:

1301 PIERCE ST
SAN FRANCISCO, CA
94115-4005

Practice Phone: 415-563-8200
Practice Fax:

1356274278 — AGNES O MABALOT
Practice Location Address:

1301 PIERCE ST
SAN FRANCISCO, CA
94115-4005

Practice Phone: 415-563-8200
Practice Fax:

1871427690 — CRIZELLE ANDREA PRATS MACATO
Practice Location Address:

1301 PIERCE ST
SAN FRANCISCO, CA
94115-4005

Practice Phone: 415-563-8200
Practice Fax:

1992861694 — WESTSIDE COMMUNITY MENTAL HEALTH CENTER
Practice Location Address:

1301 PIERCE ST
SAN FRANCISCO, CA
94115-4005

Practice Phone: 415-563-8200
Practice Fax: 415-563-5985

1386792026 — DR. CATHERINE T. JAMES MD
Practice Location Address:

1301 PIERCE ST , MAXINE HALL HEALTH CENTER
SAN FRANCISCO, CA
94115-4005

Practice Phone: 415-292-1356
Practice Fax: 415-928-6487

1376691014 — DR. ANN E. KIM MD
Practice Location Address:

1301 PIERCE ST , MAXINE HALL HEALTH CENTER
SAN FRANCISCO, CA
94115-4005

Practice Phone: 415-292-1300
Practice Fax: 415-928-6487

Directions to “ MR. TERRY LYNN MITCHELL MBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.