Ms Selena Emily Mitchell, LAC, AMFT is a
Marriage & Family Therapist based in Petaluma, California. Ms Selena Emily Mitchell is licensed to practice in * (Not Available) (license number ) and her current practice location is
727 English St, Petaluma, California. She can be reached at her office (for appointments etc.) via phone at
(559) 288-7889.
NPI number for Ms Selena Emily Mitchell is 1023180270 and her current mailing address is Po Box 2132, Petaluma, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023180270.
Healthcare Provider's Profile
Full Name | Ms Selena Emily Mitchell |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 727 English St, Petaluma, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023180270
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 04/10/2025
Medical Identifiers
Medical identifiers for Ms Selena Emily Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023180270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC6452 (California) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Selena Emily Mitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Selena Emily Mitchell, LAC, AMFT Po Box 2132, Petaluma, CA 94953-2132 Ph: (415) 936-3900 | Ms Selena Emily Mitchell, LAC, AMFT 727 English St, Petaluma, CA 94952-2425 Ph: (559) 288-7889 |
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