Individual
CHESTER G. MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.A.S.A.C
Contact information
Practice address
7 SEAFIELD LN, WESTHAMPTON BEACH, NY 11978-2714
(631) 288-1122
Mailing address
1031 WEST ST, RIVERHEAD, NY 11901-2925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24505
C.A.S.A.C
—
Enumeration date
02/07/2014
Last updated
02/07/2014
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