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

Individual provider Marriage & Family Therapist · NPI 1750620902

Jacquelyn Irene Mitchell, MFTI is a Marriage and Family Therapist in Modesto, California. Qualified in 2007, 19 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2013
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Practice location Address checks out

3049 Darlene Ln
Modesto, CA 95355-4157
Phone: (209) 535-1997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence IMF 56335 (CA)

Record details

NPI number1750620902
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFTI
Sole proprietorYes
NPI enumeratedFebruary 7, 2013
Last updated in NPPESFebruary 7, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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