Individual
MERRITT ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCIII
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 632-1780
(262) 632-0895
Mailing address
524 MAIN STREET, SUITE 302, RACINE, WI 53403-1032
(262) 632-1780
(262) 632-0895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11643 1585
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39173000
—
WI
Enumeration date
05/29/2008
Last updated
05/29/2008
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