Individual provider · Type 1 NPI

Shaphaun Tamara Black, CSAC

Addiction (Substance Use Disorder) Counselor · Charlotte, NC

NPI number 1326448960 Active

Practice location

1409 East Blvd, Suite 201
Charlotte, NC 28203-5817

Mailing address

PO Box 681282
Charlotte, NC 28216-0023

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2726 (NC)

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

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About NPI 1326448960

Shaphaun Tamara Black, CSAC's National Provider Identifier is 1326448960, issued on Sep 2, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Sep 2, 2014.