Individual provider · Type 1 NPI
Carollyn Black
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1689216293
Active
Practice location
4892 N 19th St
Milwaukee, WI 53209-5757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18939-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689216293
Carollyn Black's National Provider Identifier is 1689216293, issued on Oct 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 15, 2019.