Doctor Name: | MS. MERRI E NOEL |
NPI Number: | 1477886273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC-II |
License Number: | A4024108 |
Business Practice Address: | 398 D St Ramona, CA - 920652463 |
Business Phone Number: | 7607889724 |
Business Fax Number: | 7607889754 |
Mailing Address: | Po Box 3086, RAMONA |
State: | CA |
Postal Code: | 920650953 |
Phone Number: | 7608017690 |
Fax Number: | 7607889754 |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 09/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | A4024108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |