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Tracy Lynett Mitchell
Peer Specialist in Grand Terrace, California
NPI 1548010697

Tracy Lynett Mitchell is a Peer Specialist based in Moreno Valley, CA. Tracy Lynett Mitchell practices in Grand Terrace, CA. The NPI Number for Tracy Lynett Mitchell is 1548010697 and holds a License No. (California).

The current practice location address for Tracy Lynett Mitchell is 22365 Barton Rd Ste 302, Grand Terrace, CA and can be reached out via phone at 951-653-6958.

Location: 22365 Barton Rd Ste 302, Grand Terrace, CA, 92556-1170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548010697
Provider Name
Tracy Lynett Mitchell
Credential
Provider Entity Type
Individual
Gender
Female
Address
22365 Barton Rd Ste 302, Grand Terrace, CA, 92556-1170
Phone Number
951-653-6958
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
22365 Barton Rd Ste 302
City
Grand Terrace
State
California
Zip
92313-5078
Phone Number
951-653-6958
Fax Number
person
Provider Business Mailing Address Details
Address
22365 Barton Rd Ste 302
City
Grand Terrace
State
California
Zip
92313-5078
Phone Number
951-653-6958
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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