Individual provider · Type 1 NPI

Amy Black, CDP-T

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1821542317 Active

Practice location

2601 Summit Ave
Everett, WA 98201-3309

Call (425) 252-2131 Map

Fax (425) 258-1725

Mailing address

PO Box 12598
Everett, WA 98206-2598

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO 60668826 (WA)

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

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About NPI 1821542317

Amy Black, CDP-T's National Provider Identifier is 1821542317, issued on Aug 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Aug 12, 2016.