EDWARD ATHUR MERSEREAU LCSW
Addiction Substance Use Disorder
Kailua, Hawaii
Provider NPI: 1376520890
Provider Information:EDWARD ATHUR MERSEREAU LCSW
Gender: M
Sole Proprietor
Practice Location:
970 N KALAHEO AVE SUITE A310-B KAILUA, HI 96734 US
Tel: 808-375-3338 Fax: --
Business Mailing Address:
970 N KALAHEO AVE SUITE A310-B KAILUA, HI 96734 US
Tel: 808-375-3338 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | HI | CSAC -979-99 |
Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | HI | LCSW-3467 |