JOHN DAVONE MIXON

SACRAMENTO, CA
NPI1861977134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-10-02
Last Update Date2022-09-08
Business Address
JOHN DAVONE MIXON
7240 E SOUTHGATE DR STE G
SACRAMENTO, CA 95823-2627
Phone number: 916-391-4293
Mailing Address
JOHN DAVONE MIXON
7441 POWER INN RD APT B
SACRAMENTO, CA 95828-4478
Phone number: