Individual
ELIZABETH MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, QMHP-R, CADCIII
Contact information
Practice address
230 N 3RD ST STE 105, HARRISBURG, OR 97446-9679
(541) 952-1719
(541) 684-4162
Mailing address
230 N 3RD ST STE 105, HARRISBURG, OR 97446-9679
(541) 952-1719
(541) 684-4162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500699658
—
OR
Enumeration date
03/03/2014
Last updated
09/15/2022
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