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Individual

JOHN MERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
6636 CEDAR AVE S STE 360, RICHFIELD, MN 55423-2712
(612) 268-5858
Mailing address
466 BUCHANAN CT, VERNON HILLS, IL 60061-1346
(309) 530-7410

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.009374
IL
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
180.011069
IL

Other

Enumeration date
03/10/2016
Last updated
10/14/2024
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