Individual
CHARLENE S MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSCAC, ICADC
Contact information
Practice address
56 WAIANUENUE AVE STE 202, HILO, HI 96720-2474
(808) 935-4412
Mailing address
56 WAIANUENUE AVE STE 202, HILO, HI 96720-2474
(808) 935-4412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1318-07
HI
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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