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Mikelle Miles Mooney, LPCC
Mental Health Counselor in San Rafael, California
NPI 1396435772

Mikelle Miles Mooney is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Mikelle Miles Mooney practices in San Rafael, CA and has the professional credentials of LPCC. The NPI Number for Mikelle Miles Mooney is 1396435772 and holds a License No. LPCC13829 (California).

The current practice location address for Mikelle Miles Mooney is 1110 Mission Ave Unit C, San Rafael, CA and can be reached out via phone at 202-580-5358.

Location: 1110 Mission Ave Unit C, San Rafael, CA, 94901-2915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396435772
Provider Name
Mikelle Miles Mooney
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
1110 Mission Ave Unit C, San Rafael, CA, 94901-2915
Phone Number
202-580-5358
Fax Number
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1110 Mission Ave Unit C
City
San Rafael
State
California
Zip
94901-2915
Phone Number
202-580-5358
Fax Number
person
Provider Business Mailing Address Details
Address
1110 Mission Ave Unit C
City
San Rafael
State
California
Zip
94901-2915
Phone Number
202-580-5358
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPCC13829 (California)
Definition
Definition to come...
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