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Clinton Troy Merritt
Mental Health Counselor in Moline, Illinois
NPI 1063090264

Clinton Troy Merritt is a Mental Health Counselor based in Coal Valley, IL and is specialized in Mental Health. Clinton Troy Merritt practices in Moline, IL. The NPI Number for Clinton Troy Merritt is 1063090264 and holds a License No. 178.016552 (Illinois).

The current practice location address for Clinton Troy Merritt is 4600 3Rd St, Moline, IL and can be reached out via phone at 708-305-4041.

Location: 4600 3Rd St, Moline, IL, 61240-9522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063090264
Provider Name
Clinton Troy Merritt
Credential
Provider Entity Type
Individual
Gender
Male
Address
4600 3Rd St, Moline, IL, 61240-9522
Phone Number
708-305-4041
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4600 3Rd St
City
Moline
State
Illinois
Zip
61265-6106
Phone Number
708-305-4041
Fax Number
person
Provider Business Mailing Address Details
Address
4600 3Rd St
City
Moline
State
Illinois
Zip
61265-6106
Phone Number
708-305-4041
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
178.016552 (Illinois)
Definition
Definition to come...
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