Individual
JOSEPH MICHAEL MERENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LADC / US
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 825-1405
(918) 825-1406
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 825-1405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/20/2014
Last updated
12/15/2020
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