Individual provider · Type 1 NPI

Michael Black, LCSW, CACIII

Addiction (Substance Use Disorder) Counselor · Denver, CO

NPI number 1659679199 Active

Practice location

1212 S Broadway, Suite 200
Denver, CO 80210-1582

Fax (303) 934-1262

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACC-7098 (CO)
Clinical Social Worker 1041C0700XCSW-1229 (CO)

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

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About NPI 1659679199

Michael Black, LCSW, CACIII's National Provider Identifier is 1659679199, issued on Mar 8, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Denver, CO. The record was last updated on Mar 8, 2011.