Individual provider · Type 1 NPI

Leslie Maureen Merritt

Mental Health Counselor · San Rafael, CA

NPI number 1316103187 Active

Practice location

914 Mission Ave
San Rafael, CA 94901-6106

Mailing address

2227 Moldavite Ln
Santa Rosa, CA 95404-6173

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316103187

Leslie Maureen Merritt's National Provider Identifier is 1316103187, issued on Jul 31, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Sep 12, 2008.