Individual provider · Type 1 NPI

Myala Black, CDCA

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1689204026 Active

Practice location

4977 Northcutt Pl
Dayton, OH 45414-3839

Call (937) 387-6395 Map

Mailing address

3750 Norledge Dr
Dayton, OH 45414-5027

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.172336 (OH)

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

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About NPI 1689204026

Myala Black, CDCA's National Provider Identifier is 1689204026, issued on Jan 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jan 24, 2020.