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Michael Tyrone Mouton
Mental Health Counselor in San Mateo, California
NPI 1427309574

Michael Tyrone Mouton is a Mental Health Counselor based in Santa Clara, CA and is specialized in Mental Health. Michael Tyrone Mouton practices in San Mateo, CA. The NPI Number for Michael Tyrone Mouton is 1427309574 and holds a License No. (California).

The current practice location address for Michael Tyrone Mouton is 225 37Th Ave Fl 3, San Mateo, CA and can be reached out via phone at 650-573-2639.

Location: 225 37Th Ave Fl 3, San Mateo, CA, 95050-4333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427309574
Provider Name
Michael Tyrone Mouton
Credential
Provider Entity Type
Individual
Gender
Male
Address
225 37Th Ave Fl 3, San Mateo, CA, 95050-4333
Phone Number
650-573-2639
Fax Number
Provider Enumeration Date
09/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
225 37Th Ave Fl 3
City
San Mateo
State
California
Zip
94403-4324
Phone Number
650-573-2639
Fax Number
person
Provider Business Mailing Address Details
Address
225 37Th Ave Fl 3
City
San Mateo
State
California
Zip
94403-4324
Phone Number
650-573-2639
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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