Individual provider · Type 1 NPI

Elvia Rivera Black, LCDC

Addiction (Substance Use Disorder) Counselor · Austin, TX

NPI number 1700924453 Active

Practice location

1643 E 2nd St
Austin, TX 78702-4411

Call (512) 804-3659 Map

Fax (512) 804-3677

Mailing address

1430 Collier St
Austin, TX 78704-2911

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7953 (TX)

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

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About NPI 1700924453

Elvia Rivera Black, LCDC's National Provider Identifier is 1700924453, issued on Feb 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.