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NPI Code Detail

MEDICARE: KATRINKA MERICAL CDCA, QMHS

MEDICARE: KATRINKA MERICAL CDCA, QMHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.196142OH

General Provider Information

NPI Number : 1033041025
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINKA MERICAL CDCA, QMHS
Provider Business Mailing Address
First Line : PO BOX 108
Second Line :
City : IRONTON
State : OH
Zip : 45638-0108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 PARK AVE
Second Line :
City : IRONTON
State : OH
Zip : 45638-1502
Country : US
Telephone Number : 740-532-1613
Fax Number : 740-879-0599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ KATRINKA MERICAL CDCA, QMHS” Practice Location

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