Individual
KEVIN MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
200 LILLY RD NE STE C, OLYMPIA, WA 98506-5080
(360) 918-8336
(360) 972-2152
Mailing address
5751 39TH AVE SE, OLYMPIA, WA 98503-7131
(360) 918-8336
(360) 972-2152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004289
WA
101YM0800X
Mental Health Counselor
CG61359572
WA
Other
Enumeration date
05/05/2017
Last updated
12/07/2022
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