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JASON BLACK, L.P.A., L.C.A.S
L.P.A., L.C.A.S
Addiction (Substance Use Disorder) Counselor
NPI: 1194097022Individual
Specialties, Licenses & Credentials
Addiction (Substance Use Disorder) CounselorPrimary
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
LCAS 3014(NC)
Psychologist
Psychologist
Code: 103T00000X
4360(NC)
Contact & Hours
- Address
- 615 SHIPYARD BLVD
WILMINGTON, NC 28412 - Phone
- (910) 343-0145
Quick Facts
- NPI
- 1194097022
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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