Individual
MR. RICHARD MERCER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T 25590
Contact information
Practice address
172 LIBERTY ST, NEWBURGH, NY 12550-4912
(845) 561-5783
(845) 561-0245
Mailing address
172 LIBERTY STREET, NEWBURGH, NY 12550-4912
(845) 561-5783
(845) 561-0245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043385578
—
NY
Enumeration date
09/01/2016
Last updated
09/01/2016
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