Margaux Martine Mertz, RADT
Counselor in Vallejo, CA. Individual provider (NPI-1).
NPI number1962005165
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1962005165
- Entity type
- Individual (NPI-1)
- Name
- Margaux Martine Mertz
- Credential
- RADT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2020
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1397910720 | CA |
Practice location
508 Alabama StVallejo, CA 94590-4446
Phone 707-515-7186
Mailing address
2793 Solano AveNapa, CA 94558-4632
Phone 707-363-7692
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