Individual
CALLISTA JO MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
343 CENTER RD, FAIRFIELD, ME 04937-3361
(207) 431-7388
Mailing address
343 CENTER RD, FAIRFIELD, ME 04937-3361
(207) 431-7388
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6787
ME
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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