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Donald Lee Merriam III
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1952763724

Donald Lee Merriam III is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Donald Lee Merriam III practices in San Rafael, CA. The NPI Number for Donald Lee Merriam III is 1952763724 and holds a License No. CI06291016 (California).

The current practice location address for Donald Lee Merriam III is 603 D Street, San Rafael, CA and can be reached out via phone at 415-454-9444.

Location: 603 D Street, San Rafael, CA, 95404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952763724
Provider Name
Donald Lee Merriam III
Credential
Provider Entity Type
Individual
Gender
Male
Address
603 D Street, San Rafael, CA, 95404
Phone Number
415-454-9444
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
603 D Street
City
San Rafael
State
California
Zip
94901
Phone Number
415-454-9444
Fax Number
person
Provider Business Mailing Address Details
Address
603 D Street
City
San Rafael
State
California
Zip
94901
Phone Number
415-454-9444
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CI06291016 (California)
Definition
Definition to come...
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