Healthcare Provider Details

I. General information

NPI: 1518279645
Provider Name (Legal Business Name): MITCHELL FINN PHD, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2010
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WOOD ST
EUREKA CA
95501-4413
US

IV. Provider business mailing address

2302 FRESHWATER RD
EUREKA CA
95503-9421
US

V. Phone/Fax

Practice location:
  • Phone: 707-441-3785
  • Fax:
Mailing address:
  • Phone: 707-834-1857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number62272
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number70137
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number53034
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: