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NPI Code Detail

MEDICARE: JULIE E MITCHELL

MEDICARE: JULIE E MITCHELL
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
1172V00000XCommunity Health Worker
2390200000XStudent in an Organized Health Care Education/Training Program
3101Y00000XCounselor
4101YM0800XMental Health Counselor
5372600000XAdult CompanionCA

General Provider Information

NPI Number : 1750423364
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE E MITCHELL
Provider Business Mailing Address
First Line : 275 BECK AVE
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6804
Country : US
Telephone Number : 707-344-2076
Fax Number :
Provider Business Practice Location Address
First Line : 275 BECK AVE
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6804
Country : US
Telephone Number : 707-344-2076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 05/06/2026

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Directions to “ JULIE E MITCHELL ” Practice Location

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