Provider Demographics
NPI:1477886273
Name:NOEL, MERRI E (CADC-II)
Entity Type:Individual
Prefix:MS
First Name:MERRI
Middle Name:E
Last Name:NOEL
Suffix:
Gender:F
Credentials:CADC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3086
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-0953
Mailing Address - Country:US
Mailing Address - Phone:760-801-7690
Mailing Address - Fax:760-788-9754
Practice Address - Street 1:398 D ST
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-2463
Practice Address - Country:US
Practice Address - Phone:760-788-9724
Practice Address - Fax:760-788-9754
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA4024108101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)