Individual
PATRICIA J MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
118 W HEARD ST, CLEBURNE, TX 76033-3836
(817) 645-5517
Mailing address
118 W HEARD ST, CLEBURNE, TX 76033-3836
(817) 645-5517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1259
TX
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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