Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demarco Mixon

Individual provider Mental Health Counselor · NPI 1336644533

Demarco Mixon is a Mental Health Counselor in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

620 N Aurora St Ste 1
Stockton, CA 95202-2276
Phone: (209) 468-9370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Mental Health Counselor Taxonomy 101YM0800X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1336644533
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2018
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

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