Provider Demographics
NPI:1245569417
Name:MERRELL, JENNIFER (CADACLL)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:MERRELL
Suffix:
Gender:F
Credentials:CADACLL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2829
Mailing Address - Country:US
Mailing Address - Phone:707-226-1248
Mailing Address - Fax:
Practice Address - Street 1:701 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2829
Practice Address - Country:US
Practice Address - Phone:707-226-1248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)