Individual provider · Type 1 NPI

Bobby Lee Black, CADC-1, CRM, QMHA-R

Addiction (Substance Use Disorder) Counselor · Klamath Falls, OR

NPI number 1043828619 Active

Practice location

3647 Highway 39
Klamath Falls, OR 97603-2612

Call (541) 884-5244 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Peer Specialist 175T00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043828619

Bobby Lee Black, CADC-1, CRM, QMHA-R's National Provider Identifier is 1043828619, issued on Jul 20, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Klamath Falls, OR. The record was last updated on May 8, 2024.