SearchCaliforniaRehabilitation Practitioner

Justin Mickle

NPI 1891613469 · on the registry since 2026

Practice

Address
670 Placerville Dr Ste 1d
Placerville, CA 95667
Phone
(530) 344-4846
Organisation at this address
El Dorado County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
Rehabilitation Practitioner
225400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California