Individual provider · Type 1 NPI

Daniel Paul Black, RRW

Addiction (Substance Use Disorder) Counselor · Covina, CA

NPI number 1134550338 Active

Practice location

540 S Eremland Dr
Covina, CA 91723-3186

Mailing address

1415 S Stoneman Ave Apt 3
Alhambra, CA 91801-5161

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRW7051 (CA)

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

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About NPI 1134550338

Daniel Paul Black, RRW's National Provider Identifier is 1134550338, issued on Dec 12, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Covina, CA. The record was last updated on Dec 12, 2013.