Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 104100000X | Social Worker |
NPI | 1003231622 |
---|---|
Provider Name | Noah Merl |
First Address | Oakland, CA 94609-2633 |
Second Address | Oakland, CA 94609-2633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2014 |
Last Update Date | 11/02/2022 |