Individual
KEISHA MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GOUGH ST, SAN FRANCISCO, CA 94102-5903
(415) 553-3252
Mailing address
101 GOUGH ST, SAN FRANCISCO, CA 94102-5903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
08/29/2025
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