Individual
MERRI CRITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W ADAMS ST STE 403, JACKSONVILLE, FL 32204-1645
(904) 966-9417
(904) 341-5505
Mailing address
630 W ADAMS ST STE 403, JACKSONVILLE, FL 32204-1645
(904) 966-9417
(904) 341-5505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LIC-1047667
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
FL
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
222Q00000X
Developmental Therapist
—
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LIC-1047667
—
FL
Enumeration date
08/23/2021
Last updated
04/11/2024
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