Individual provider · Type 1 NPI

Jeanne Devo Black, M.ED., LPC, LADC

Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK

NPI number 1114245305 Active

Practice location

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5108

Call (405) 424-7711 Map

Other practice locations

  • 301 W I 240 Service Rd, Oklahoma City, OK 73139-7701 · (405) 604-9644
  • 201 N Broadway St Ste 100, Moore, OK 73160-5135 · (405) 990-0816

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2534 (OK)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1022 (OK)

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

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About NPI 1114245305

Jeanne Devo Black, M.ED., LPC, LADC's National Provider Identifier is 1114245305, issued on May 12, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 22, 2019.